OCTCM Student Clinic Handbook - Ontario College of Traditional

Transcription

2015
Ontario College of
Traditional Chinese
Medicine
Edited by: Dylan
Kirk, R.Ac, R.TCMP
STUDENT CLINIC HANDBOOK
Your guide to OCTCM clinical practice, procedures, and protocol
OCTCM Student Clinic Handbook
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Table of Contents
Table of Contents .............................................................................. 2
Student Information .......................................................................... 6
Introduction ....................................................................................... 7
OCTCM Student Clinic Emergency Management ............................ 8
Safety Protocols...............................................................................................................8
Emergency Procedure(s) .................................................................................................8
Emergency Phone List .....................................................................................................9
Patient Medical Emergency .......................................................................................... 10
Incident Report..............................................................................................................10
OCTCM Incident Report Template(Student): ................................................................ 11
OCTCM Incident Report Template(Supervising Faculty): .............................................12
OCTCM Student Clinic Room Preparation ..................................... 13
Room Safety ..................................................................................................................13
Room Preparation .........................................................................................................13
Room Cleaning ..............................................................................................................14
At the end of clinic ........................................................................................................16
Cleaning Log Sample: ....................................................................................................16
Clinical Policies ............................................................................... 17
1. Guidelines for needle manipulation and handling. ...................................................17
Contra-indications to needling ...................................................................................... 17
2. Guidelines for the use of Moxibustion ......................................................................18
Contra-Indications to Moxibustion ...............................................................................18
3. Guidelines for use of Electrical Stimulators .............................................................. 19
Contra-Indications to Electrical Stimulation .................................................................19
4. Guidelines for Cupping .............................................................................................. 19
Contra-Indications to Cupping ...................................................................................... 20
5. Guidelines for the use of Auricular Press Needles .................................................... 20
Contra- Indications for Auricular Press Needles ........................................................... 21
6. Management of Possible Needle Accidents.............................................................. 21
Stuck or Bent Needle .....................................................................................................22
Broken Needle ...............................................................................................................23
7. Injury to Organs ........................................................................................................23
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8. Health Records .........................................................................................................25
9. Hand Washing ..........................................................................................................26
10. Infection Control.....................................................................................................27
11. Handling Disposal of Sharps .................................................................................... 28
12. Disclosure of Student Status ..................................................................................29
13. Clinical Dress Code ..................................................................................................29
14. Guidelines on Patient Care ...................................................................................... 30
TCM Practitioners/Herbalists/Massage & Qi Gong Practitioners .................................34
Appendices ...................................................................................... 35
Appendix A: Code of Professional Ethics for Acupuncturists/TCM Practitioners .........35
Appendix B: Patients’ Rights ......................................................................................... 35
Appendix C: OCTCM Student Clinic Informed Consent Form .......................................38
Risks and Complications of Treatment..........................................................................39
Consent.......................................................................................................................... 40
Appendix D: Verbal Informed Consent Checklist .......................................................... 42
Appendix E: Accepted Abbreviations and Descriptive Terms for Charting...................43
TCM Reference for Needling, Moxibustion and Cupping .............................................46
Descriptive terms used for charting ..............................................................................47
Appendix F: Acupuncture Needling Safety Policy ......................................................... 48
Appendix G: Universal Precautions and the Use of Gloves ..........................................49
Objectives and Student Requirements .......................................... 50
The Clinical Practicum ...................................................................................................50
Objectives ...................................................................................................................... 50
Supervision .................................................................................................................... 50
Student Requirements ..................................................................................................50
Clinical Practicum ........................................................................... 55
Clinical Evaluation Strategies Component ....................................................................55
Criteria for Successful Completion of Clinical Education ..............................................56
Professional Performance Evaluations (PPE) ............................... 56
Guidelines ...................................................................................................................... 56
Successful Completion of All Clinical Practica ............................................................... 57
Demonstration of Safe Practice Throughout All Clinical Practica .................................57
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Demonstration of Ethical Behavior at All Times ........................................................... 58
Clinical Practice Expectation ......................................................................................... 58
Clinical Practicum Course Outline: Guideline for Acupuncture &
TCM Diploma‘s students:................................................................... 58
Diploma of Acupuncture ............................................................................................... 58
Diploma of TCMP...........................................................................................................59
Advanced Diploma of TCM ............................................................................................ 59
Acupuncture Tables ........................................................................ 60
Acupuncture Terminology .............................................................. 64
Acupoint Nomenclature Index ........................................................ 66
WHO Standard Nomenclature of Extra Points .............................................................. 76
Standard Nomenclature of Scalp Acupuncture............................................................. 77
Index of TCM Illnesses .................................................................... 78
Index of Materia Medica .................................................................. 81
TCM Formula Reference ................................................................. 89
Formulas for relieving superficial syndrome (Jie Biao Ji 解表劑) (8)............................ 89
Formulas for purgation (Xie Xia Ji 瀉下劑) (7) .............................................................. 90
Formulas for harmonizing (He Jie Ji 和解劑) (6) ........................................................... 91
Formulas for clearing heat (Qing Re Ji 清熱劑) (25) ..................................................... 92
Formulas for warming interior 溫裏劑 (8) ....................................................................96
Formulas for relieving interior-exterior 表裏雙解劑 (4) ..............................................97
Formulas for tonifying 補益劑 (18)...............................................................................98
Formulas for tranquilization 安劑 (6) .........................................................................101
Formulas for astringing 固澀劑 (6) .............................................................................102
Formulas for regulating Qi 理氣劑 (10) ......................................................................103
Formulas for regulating blood 理血劑 (12) ................................................................104
Formulas for treating wind related diseases 治風劑 (10) ..........................................106
Formulas for treating dryness diseases 治燥劑 (8) ....................................................108
Formulas for eliminating phlegm 袪痰劑 (11) ............................................................112
Formulas for improving digestion 消導劑 (7) .............................................................114
Formulas for parasite diseases 驅蟲劑 (2) .................................................................116
Formulas for abscess (yong yang) 癰瘍劑 (7) .............................................................116
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Patient Progress Notes ..................................................................118
Herbal Prescription Form ...............................................................119
Final Words .................................................................................... 121
NOTES ............................................................................................ 122
Clinical Practicum Competencies ................................................ 127
Additional Comments: .................................................................. 140
OCTCM Student Clinic Procedure Overview ............................... 141
Procedure for receiving a new patient........................................................................141
Procedure for Initial Intake .........................................................................................141
Procedure for Follow-up intake ..................................................................................141
Before the Treatment Begins ......................................................................................142
Clinic Room Procedures ..............................................................................................142
Clinical Assisting ..........................................................................................................142
Patient Check Out........................................................................................................143
Bibliography .................................................................................. 144
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Student Information
Place your
picture here
Personal Information
Name :
Student No:
Title:
Office No:
Home No:
Cell No:
Address:
e-mail :
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Clinic Hour Log
Enter the total hours at the end of each term that you have logged
to keep track of your progress.
Term1 hrs:
________________________________________
Term 2 hrs: ________________________________________
Term 3 hrs: ________________________________________
Term 4 hrs: ________________________________________
Term 5 hrs: ________________________________________
Term 6 hrs: ________________________________________
Term 7 hrs: ________________________________________
Term 8 hrs: ________________________________________
Term 9 hrs:
________________________________________
Term 10 hrs: ________________________________________
Term 11 hrs: ________________________________________
Term 12 hrs: ________________________________________
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Introduction
Welcome to the Clinical Practice of your Acupuncture and TCM
education at OCTCM. It is now time to put together all the theoretical
knowledge you acquired in the program to benefit others.
Each clinical session has a clinical supervisor who is responsible for
organizing all of your activities while you are at a clinical site. You will
report directly to the supervisor and must adhere to the Policies and
Procedures specifically outlined for that site. The clinical supervisor is
also responsible for your evaluations during each rotation.
As in your didactic education, you are advised to keep up with your
studies and assignments. If for any reason you get behind during a
rotation or you find yourself having difficulties, please discuss it with
your clinical supervisor immediately.
Please refer to the OCTCM information brochure regarding attendance
expectations and appeals.
The policies and procedures within this handbook are based on the
Federal and Provincial legislation as it pertains to Acupuncturists and
TCM Practitioners in Ontario. This information can be found on the
CTCMPAO website: http://www.ctcmpao.on.ca/.
Students are
required to review these publications regularly for any changes. The
Safety Program Handbook and the Jurisprudence Course
Handbook, both available on this site are required reading along with
this book. The policies contained herein are subject to change in
accordance with Federal or Provincial Legislation.
May you find true happiness as you guide others on the path of
healing
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OCTCM Student Clinic Emergency Management
Safety Protocols



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fire extinguishers are located throughout the building
the building is also equipped with a sprinkler system and smoke detectors
a list of emergency phone numbers is located on the bulletin board by the
consultation room and in the Policy and Procedure Manual
a first aid kit is available from the receptionist
telephone books containing extensive first-aid instructions are located in the
administration area in the shelf by the computer
Emergency Procedure(s)
In the event of an emergency:
 For assistance from the fire department, police department, or ambulance,
telephone 9-1-1
 All student practitioners should return to their patients
 The primary student practitioner should immediately evaluate the safety of the
situation and remove needles from patients in a calm and orderly fashion. The
assisting student practitioner should inform the supervisor immediately if it is
unsafe to remove the needles or other medical devices ie. cups.
 After all patients’ needles have been removed, students should calmly walk
with the patients proceeding to the fire exits. In case of fire, do not use the
elevator.
 If the building is unsafe evacuate in an orderly fashion using the emergency
exits and fire escape routes.
 The Clinical Supervisor should take the appointment book and class list and
check all treatment rooms for patients before exiting
 Instruct people to congregate across the street at our other location at 7100
Warden.
 Instructors will use the appointment book and class lists to conduct a count to
ensure that everyone has made it safely out of the building.
 If people are missing, do not go back into the building. Instead, inform
emergency personnel as to how many are still in the building and their
locations. Remain in a safe location away from the building until emergency
personnel authorize re-entrance.
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Emergency Phone List
Police
9-1-1
Fire
9-1-1
Ambulance
9-1-1
Crime-Stoppers
1-800-222-8477
Assault Victim
1-800-263-2240
Mental Health
905-472-7585
Distress Centre
1-800-263-3388
Poison Control Centre
1-800-268-9017
Street Outreach Clinic Crisis Line
905-472-7556
Power Outages
1-877-777-3810
Flooding & Spills
905-477-5530
Gas Emergencies
1-866-763-5427
Taxi
416-777-9222
416-240-0000
Citizens Counseling Centre
1-800-622-6232
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Patient Medical Emergency
If a patient experiences a medical or other emergency during student clinic, it is
important that all students and clinical supervisors work calmly, quickly and efficiently
together to ensure the safety and well being of the patient.
 Primary Student Practitioner should remain with or immediately return to the
patient and remove all needles or other treatment instruments so long as it is
safe to do so. If the student is trained in first aid or cpr they should administer it
if necessary, otherwise they will wait for the clinical supervisor.
 Assisting student practitioners should immediately get the Clinical Supervisor
and first aid kit if necessary and/or call 911 and remain on the phone with
them. Assisting student practitioners can collect the belongings and look up
the emergency contact information in the patient file
 The supervisor should proceed to the patient and assess the
situation. Administer first aid or cpr if necessary until EMS arrives.
 All other students should attend to their patients immediately, calmly remove all
needles or other treatment instruments so long as it is safe to do so. Explain
the situation to the patients and make sure the area is clear for EMS personnel
if necessary.
 Primary Student Practitioner must then fill out an Incident Report, detailing all
events that took place
 Clinical Supervisor will also fill out an Incident Report
Incident Report
Documenting events near the time of occurrence can prove to be an effective means
of reviewing and recollecting the details of events as they occur in emergency
situations. Incident Reports must be filled out after any emergency or medical
incident including environmental hazards, such as slip and fall, real or perceived
medical emergencies, needle accidents, violent or other abnormal behaviours from
patients or any other situation that the supervisor deems necessary. In most situations
the student(s) and clinical supervisor will file reports and they must be signed and
dated. Each incident report must detail the events as they happened and the steps
taken to ensure best practices.
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OCTCM Incident Report Template(Student):
To be filled out by individual reporting incident
Name of person filing report:
Date Report Filed:
Date of Incident:
Time of incident:
Location of Incident:
Incident:
WHAT WERE YOU DOING AND
DESCRIBE THE EFFORT
INVOLVED?
SIZE, WEIGHT AND TYPE OF
EQUIPMENT OR MATERIALS
INVOLVED (IF APPLICABLE)
WHAT HAPPENED TO CAUSE THE
INJURY?
WHAT STEPS WERE TAKEN?
WHAT WAS THE RESULT?
ADDITIONAL INFORMATION
ATTACHED?
Name and contact information of
witnesses (if applicable)
Nature and location of Injury (if
applicable)
Treatment or action provided (CPR,
First Aid, 911, etc):
Date and Signature of person filing
report:
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OCTCM Incident Report Template(Supervising Faculty):
To be filled out by Supervising Faculty
Name of Faculty filing report:
Date Report Filed:
Date of Incident:
Time of incident:
Location of Incident:
Student(s) involved:
Patient(s) involved:
Incident:
WHAT WERE YOU DOING AND DESCRIBE
THE EFFORT INVOLVED?
SIZE, WEIGHT AND TYPE OF EQUIPMENT
OR MATERIALS INVOLVED (IF
APPLICABLE)
WHAT HAPPENED TO CAUSE THE
INJURY?
WHAT STEPS WERE TAKEN?
WHAT WAS THE RESULT?
Contributing Factors: PLEASE DESCRIBE
IN DETAIL THE CAUSE(S) OF EVENT
WHICH COULD INCLUDE PHYSICAL
CAUSES, HUMAN CAUSES, AND
ORGANIZATIONAL CAUSES.
Corrective Measures: PLEASE DESCRIBE
IN DETAIL CORRECTIVE MEASURES TO
PREVENT RECURRENCE
ADDITIONAL INFORMATION ATTACHED?
Name and contact information of
witnesses (if applicable)
Nature and location of Injury (if applicable)
Treatment or action provided (CPR, First
Aid, 911, etc):
Date and Signature of person filing report:
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OCTCM Student Clinic Room Preparation
Room Safety
Check for hazards
Check the entire space for potential hazards. Hazards should be understood as
anything that may be a potential safety risk to the patient or obstruction to safe and
effective administration of treatment during student clinic.
 Wet floors
 Obstructive furniture
 Electrical cords
Check tables
Check the safety of the treatment tables.
 Legs tightened (if adjustable)
 Headrest tightened
Check floor
Visually check the floor for needles or other hazards. Patients will be taking off their
shoes in the treatment area. This is a common source of “needle stick”. By checking
the floors before your clinic, you can be sure that dropped needles were not from you
or your clinic.
Room Preparation
Heat/Ac
 Turn the heat or Ac on or off if necessary giving the room time to adjust before
patients arrive. Please note that patients will be disrobing and you should
ensure that they are warm enough. Also note that some rooms receive more
concentrated heat or Ac than others. Heating lamps and additional blankets
can be used if necessary.
Preparation Cleaning
 Wipe down headrests
 Visually check water resistant blue sheets for body fluids and if necessary
discard and change them.
 Prepare “clean field”
 Check sink and hand washing area for soap and paper towels
Table Preparation
 Prepare tables with pillows, table paper, and headrest covers.
 Blankets if necessary.
 Additional draping should be prepared on an “as needed” basis after point
selection is made (for example: gown or extra sheet)
Supplies checking
 Sharps container
 Check Biohazard garbage and regular garbage
 Dry cotton
 70% alcohol
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


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
90% alcohol
Lighter
Needles
o 1 minimum half full box of .5 cun
o 1 minimum full box of 1 cun
o 1 minimum full box of 1.5 cun
o 1 minimum half full box of 2.5 or 3 cun
Clean Cups
Heat lamps
Scheduling check
 Check the clinic schedule to see the number and time of patients. Make sure
you know what patients will be with which group
Patient File preparation
 Pull all the files for patients scheduled during the clinic and arrange them
according to the scheduled time. These should be kept at the front desk and
must not be left unattended (if for example the receptionist is not in that day).
 If a new patient is scheduled (indicated by NP on schedule) prepare the
informed consent and health history forms.
Music

Occasionally you may wish to play music. It often helps create a more relaxed
environment and drown out distracting sounds from other treatments. The
music should be relaxing in nature and at a quiet level.
Room Cleaning
After each patient
 Clean any treatment supplies (for example needle packaging)
 Clean headrest
 Check for body fluids
 Check area for forgotten belongings
 Check floor for needles
 Change table paper
 Cups and other supplies that are in need of cleaning
o Cups used on “intact skin” must cleaned with a “intermediate-level
disinfectant” after each use.
 Wear gloves
 Wash cups in the cleaning sink with sponge, soap and hot water
 prepare the high level disinfectant
 Soak cups
 Record the time started and the time they can be removed
o Cups used on “non-intact skin” or for bleeding must be “sterilized” after
each use
 Wear gloves
 Wipe any blood or body fluids from cups with a paper towel and
dispose of the paper towel in bio-hazard bag
 Wash cups in the cleaning sink with papertowel, soap and hot
water
 Dispose of the paper towel in biohazard bag
 Preform hand hygiene and re-apply gloves
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
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Clean instruments must be placed in the appropriate sterilization
package and sealed
 Temperature sensitive chemical indicators must be used with
each package
 Load the sterilizer evenly and avoid overloading the chamber.
Follow manufacturer’s directions for loading the chamber.
 Start the sterilization process
 Record the “time in” and “time out” in the log book
 After the sterilization cycle has been completed, remove
instruments when dry and store in the “clean” area of the clinic
High Level Disinfectants used at OCTCM
o Used for “semi-critical devices”
 cups
 clamps
 trays
o Ortho-phthalaldehyde (OPA) 0.55% > 10 minutes (follow manufacturer’s
instructions)
o 1:50 chlorine bleach solution (using 5.25% chlorine bleach) semi-critical
devices > 20 minutes
Intermediate-Level Disinfection used at OCTCM
o Used for surfaces
 table
 headrest
 supply surface area
 sink
o 70–90% isopropyl alcohol for 10 minutes
o 1:50 chlorine bleach solution (using 5.25% chlorine bleach) for > 10
minutes
All cups at OCTCM must be treated as if used with non-intact skin and
disinfected with an intermediate-level disinfectant between patients. This is
because the potential for possible contact with blood or body fluids is highly
likely when cupping.
From the Safety Handbook:
 “Cupping is not a sterile procedure. However, cups must be cleaned and
disinfected after each patient use.
o Cups used on intact skin is a non-critical item and should be cleaned
and disinfected with a low-level disinfectant between patients.
o Cups used on non-intact skin (e.g., used with needling) is a semi-critical
item and should be cleaned and disinfected with an intermediate-level
disinfectant between patients.
o If bleeding occurs, cupping devices must be autoclaved, or otherwise
sterilized.
o Bamboo cups should not be used because of the difficulty in
disinfecting.
 Lancets or three-edged needles used for blood-letting must be sterile
(disposable lancets or three-edged needles are recommended).
 Based on use, disinfect or sterilize moxa equipment as required.
 When an electro-stimulation machine is used, the clippers that attach to the
handle of the needle must be cleaned and disinfected between patients.
 Re-useable needle trays should be sterilized after each patient.
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

Any item that is used to handle or manipulate the sterile needle before insertion
must also be sterile.
Instruments that contact the needle after insertion (forceps, tweezers) must be
cleaned and disinfected between patients. Sterilization may be required based
on use.”
(P. 68, Safety Program Handbook (NOV 12th))
At the end of clinic
In addition to the post-treatment cleaning
 Double check all treatment areas for belongings
 Double check all floors
 Unplug all heat lamps and store in an unobstructive manner
 Table Paper does not need to be put out
 Check supplies and refill if necessary
 Clean trays and clamps
 Clean Tables
 Clean all surfaces
 Check cups
 Fill out cleaning log
Cleaning Log Sample:
Daily
Refer to student handbook. This includes a clinic walk through for safety, table,
Cleaning
surface, tray, clamps, sink cleaning, etc.
Procedure:
Additional Performed as necessary and may include: Washing and soaking cups in bleach,
Cleaning: Sterilizing Cups, cleaning a blood or body fluid spill, additional cleaning to prevent
spread of infectious diseases, etc.
Date
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Daily Cleaning
after Clinic
Additional Cleaning (cupping, blood Student Signature
or body fluid spill, infectious disease
prevention, etc.)
Clinical Policies
1. Guidelines for needle manipulation and handling.
Needle manipulation and handling must use aseptic techniques at all
times. This requires the practitioner to ensure:
 The use of pre-sterilized needles
 Hand-washing for at least 15 seconds using soap, before and
after treatment of a patient
 That finger nails are clean and that any cuts and abrasions are
covered
 That immediately before needling, the hands are washed with an
approved soap
 That on removal of the needle from the packaging, only the head
of the needle is grasped and the shaft of the needle which is to
be inserted into the patient’s skin is not touched
 The skin of the insertion area is swabbed with an alcohol swab
prior to needle insertion
 That needle insertion is swift and painless
 That on removal of the needle, it is placed directly into a Sharps
Container, avoiding double handling
 That if a needle stick occurs the practitioner refers to the relevant
section in this manual (Infection Control)
 The area of insertion is swabbed with a sterile, dry cotton wool
after removal of the needle
 That if there are signs of bleeding after removal of the needle.
Universal Precautions are adopted, including:
- Washing hands before and after procedure
- Barrier protection in the form of eye protection and a gown
if there is a risk of splashing, and wearing of disposable
gloves if in contact with blood and body fluids
 That all contaminated, blood stained material is placed in the
biohazard bag
Contra-indications to needling
Acupuncture should not be carried out under the following
conditions:
 If the patient is intoxicated
 On or near infected areas
 Pregnant women (all needling is to be done under the direct
supervision and in accordance with the Clinical Supervisors
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instructions)
 Patients who are very hungry or who have not eaten
 Patients who are fatigued
 Patients who are frail and weak
2. Guidelines for the use of Moxibustion
All moxibustion techniques must avoid contact with the skin to prevent
a burn to the patient. Applicable techniques are:
 Moxa Stick
 Moxa on needle with a foil guard at the bottom of the needle to
protect the skin
 Moxa on salt, garlic or ginger (caution with latter two, they are
very hot)
Contra-indications to treatment with moxa should be checked and
cleared with the clinical supervisor.
Before applying the moxibustion the practitioner should:
1. Ascertain the skin sensitivity
2. Inform the patient that the sensation should be mildly warm
3. Advise the patient that there is a danger of a burn and to notify
the practitioner if the sensation of heat is too strong
4. Question the patient to ascertain that she/he has understood the
possible side effects
5. Monitor the heat sensation by placing two fingers in the vicinity of
the acupoint being treated
If a burn should be experienced, the practitioner should immediately
immerse the effected are in cold water and refer the patient to medical
care as quickly as possible, then document the incident.
Contra-Indications to Moxibustion
Moxibustion is contra-indicated in the following situations:
 High fever (39 C or higher)
 Abdominal and sacral region of pregnant women
 Acupoints contra-indicated for moxibustion (see point location
texts)
 Impaired skin sensation
 Patients taking analgesic medication
 Infections and open wounds
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 After using a liniment
3. Guidelines for use of Electrical Stimulators
Before use:
 All leads must be checked for any damage or breakage
 Faulty equipment is to be reported to the Clinical Supervisor
immediately
 Contraindications to electrical stimulation should be checked and
cleared with the Clinical Supervisor
 Ascertain the skin sensitivity by using a blunt/sharp test. This
involves the patient closing their eyes and stating the sensation
felt while touching the skin with a sharp and blunt end of a safety
pin
Before use, the practitioner should:
 Inform the patient of the sensation to be felt and asked to inform
the practitioner if the sensation is to strong
 Question the patient so as to ascertain that they understood the
warning
 Constantly monitor the patient during the treatment time
Contra-Indications to Electrical Stimulation
Electrical acupuncture is contra-indicated in the following situations:
 Pregnant women
 Lack of skin sensitivity
 Patients with a cardiac pacemaker
 Arterial disease and deep venous thrombosis
 Infections
 Fever
 Skin conditions
4. Guidelines for Cupping
Pneumatic cups are recommended for use because of the decreased
chance of injuring the patient due to the greater control over the
suction level.
Before use:
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 Check for contraindications
 Wipe down the rims of the cups with an alcohol swab to minimize
cross infection
 Inform the patient of the sensation to be felt, and ask them to
inform you if the sensation is unpleasant or uncomfortable
 Warn the patient of the possibility of bruising
 Ascertain that the patient understood the warning
After use:
 Wash cups thoroughly in hot soapy water
 Then soak them in soaking solution for the recommended time to
disinfect the contact area of the cups
Contra-Indications to Cupping
Cupping Technique is contraindicated with/on:
 Skin ulcerations
 Edema
 Area overlying a large blood vessel
 High fever and convulsion
 Abdominal or sacral areas of pregnant women
 Susceptibility to bleeding
5. Guidelines for the use of Auricular Press Needles
The use of pre-sterilized ear press needles is recommended. If this is
not possible, non-invasive devices (e.g. magnetic balls, seeds etc.)
should be used. The procedure requires:
 Washing of hands before and after treatment
 Ensuring that forceps/tweezers used are thoroughly cleaned and
swab them if they are likely to come into contact with the press
needle
 Swabbing the area with alcohol swab before insertion
 Taping the needle to securely (note: all press needles at the
Clinic come with a tape attached)
 Warn the patient that if they experience heat, pain, swelling or
discomfort around the area of insertion, to remove the press
needle immediately as the auricle is prone to infection
 Advising the patient to keep the ear dry (especially if showering),
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to avoid the possibility of infection
 The press needle to remain in for no more than five days – 2
days in the hot summer months
Contra- Indications for Auricular Press Needles
Auricular Press needles are contraindicated in/on the following
situations/areas:
 Purulent infected areas
 On patients who have cardiac pacemakers and/or heart valves
replacements
 Patients who have, or have had, endocarditis
 Susceptibility to bleeding
6. Management of Possible Needle Accidents
For Needling Safety Policies, please refer to Appendix E.
i.
Fainting During Insertion or Manipulation
Signs & Symptoms:
 Pale face
 Dizziness
 Nausea
 Sweating
 Palpitations
 Weak pulse
 Cold extremities
 Hypotension (low blood pressure)
 Loss of consciousness
Causes:
 Hunger
 Fatigue
 Weakness
 Nervous tension
 Improper positioning
 Too strong manipulation
Management:
 When signs and symptoms appear, stop needling and withdraw
21 | P a g e




any needles in place
Lie the patient down and apply acupuncture First-Aid
If the patient is not responsive and has no vital signs, call 911
and then notify OCTCM Supervisors & Administration
Refer for medical treatment and/or
Fill out an Accident/Incident Report Form and give to Clinic
Manager
Prevention:
 Ensure patient is not hungry
 Lie patient down
 Relax patient
 Gentle needle technique
 Check with patient how they feel about being needled before
proceeding
Stuck or Bent Needle
Signs & Symptoms:
 Needle is difficult to life/thrust/rotate/withdraw
 Sometimes the patient may feel pain
Causes:
 Too much/strong manipulation
 Turning the needle in one direction
 Patient is extremely nervous
 Patient changes position after needle is inserted
Management:
a. For a stuck needle:





Leave needle in place for a few minutes (it may loosen itself)
Massage around the point
Insert needle close to stuck needle
Moxa muscle spasm
NEVER FORCE a stuck needle
For a bent needle:
 Stop manipulation and very slowly remove the needle following
the angle of the bend
22 | P a g e
 If patient has moved, slowly put him/her into the original position
Prevention:
 Prepare patient for possibility of needle technique
 Ask patient to remain in position and keep still
Broken Needle
Causes:
 Forcefully withdrawing a bent needle
 Poor quality needle (e.g. Using reusable needles)
 Too strong manipulation of needle
 Strong muscle spasm
 Sudden movement of patient when needle is in place
 Deep insertion – handle separates from the shaft
Management:
 If broken above skin (between handle and shaft), pull out quickly
using tweezers
 If broken at skin level gently push down surrounding skin and
remove with tweezers
 If broken deep in the tissue, mark a circle around the point of
insertion, immobilize the limb and send for an ambulance
 Fill out the Accident/Incident Report Form and give to Clinical
Manager
Prevention:
 Never forcefully withdraw a bent of stuck needle (inspect needles
for quality before using)
 Do not insert needle deeply (do not insert more than ¾ of the
needle length, if you need to go deeper use a longer needle)
 Take care with strong points because sudden muscle spasm may
break or bend needle
7. Injury to Organs
i. Lungs
Signs & Symptoms:
 Pain
 Fullness of chest
23 | P a g e




Dyspnea
Cyanosis (lips, fingernails)
Hypotension
Shock symptoms
Causes:
After using points located on chest and upper back areas:
 Epileptic seizure
 Too deep insertion or angle not appropriate
 History of lung problems
Management:
 Call 911 and notifying the OCTCM Supervisor and Administration
 Fill out an Accident/Incident Report Form and give to Clinic
Manager
Prevention:
 Correct angle and insertion
ii.
Liver/Spleen/Kidney
Cause:
 After using points LV13, LV14, SP21, GB25, GB26
Signs & Symptoms:
 Hypotension
 Pale face/nails
 Dizziness
 Bruising pain radiating towards the back
 Constriction of abdominal muscles
 Shallow breathing
 Shock
Kidney Damage
 Local back pain
 Blood in urine
iii. Nerve Trunk
 Sharp pain, like an electric shock
24 | P a g e
iv.
Brain & Spinal Cord
 Medulla Oblongata (incorrect or too deep needling of points Du
15/16, GB20, BL10)
Signs & Symptoms:
 Headache
 Nausea
 Vomiting
 Flash/pain, electric shock post treatment
 Hypotension
 Shock
Management:
 Call 911 and notify OCTCM Supervisor and Administration
 Fill out an Accident/Incident Report Form and give to Clinic
Manager
8. Health Records
A written health record should be completed for every new patient and
placed in the patient’s folder. It should:
 Be accurate, brief and complete
 Be legibly written
 Be objectively written
 Note any extraordinary incidents or accidents
 Not have any uncommon abbreviations
 Be dated and signed, both printed and written, with each entry
 The patients first and last name should be printed in pencil, on
the folder tab and filed under the patient’s first name
Health records are legal documents and must be treated as such. All
information pertaining to the medical record is confidential and is not to
be discussed outside of the treatment area. Health records are not to
be taken out of the clinical area for the purpose of documenting a case
history. If the health record is to be used as a case study, there should
be no reference to any personal details such as name, address, etc.
In addition to the health record and the patient history, the information
gathered should be recorded concisely, yet completely. It should:
25 | P a g e












Be accurate and complete
Be objectively and legibly written
Clearly note any extraordinary incidents or accidents
Not have any uncommon abbreviations
Be clearly dated for each treatment
Be signed in print and written form
Include standardized abbreviations for points, needle techniques,
application of moxa (and method), cupping, etc.
Indicate any special needle techniques and the reasons for use
explained in full
Identify any contra-indications for needling, moxa, etc.
Highlight any special messages (e.g. Pregnancy, nervousness,
etc.) to pass on to proceeding practitioners
Indicate the name and phone number of the treating practitioner
so that subsequent practitioners can make contact, if needed
Be kept orderly and filed in alphabetical order (according to
patient’s first name) immediately after each treatment
Remember that it is important that diagnoses and treatment details are
clearly written and understood by all other health care practitioners.
9. Hand Washing
The surface of the hands and nails must be clean before any patient
contact is made. Abrasions, cuts or lesions must be completely
covered with a waterproof dressing, which must at least be changed
daily and/or gloves should be worn during treatment.
Hands should be washed:
 Before and after contact with each patient
 After contact with any blood or fluids
 Immediately prior to putting on new, disposable gloves and
attending to a patient
 Immediately after removing disposable gloves for any reason
 After carrying out a treatment on a patient
 After performing any facial treatments
 After smoking
 After going to the toilet
 Immediately before and after handling food or eating
26 | P a g e
Hand Washing Technique:
 Use soap (liquid soap)
 Rub hands vigorously as you wash them (minimum of 15
seconds)
 Wash hands ALL OVER, including:
- Back of hands
- Wrists
- Between the fingers
- Under the nails
 Rinse hands thoroughly and turn the taps off using your elbows
or paper towel
 Thoroughly dry hands with a new, single use, disposable paper
towel
10. Infection Control
To minimize cross-infection between patients and/or practitioners (staff
& students)
i. Examination Tables
 If blood is visible on the examination table, treat the blood spill
first (refer to Section III below). This is to be attended to at the
completion of each patient’s treatment if there is evidence of
blood visible
 Linen or examination paper used to cover tables or examination
tables should be changed between patients
 At the completion of each session, wash treatment tables
thoroughly with a general purpose detergent (non-toxic if
possible) and hot water. Rinse and dry thoroughly. Change linen
ii. Linen
 Any linen soiled by any body fluids including blood, urine, or
feces must be treated as Infectious Material and should be
placed in a biohazard bag
 Any used linen which is not contaminated with any of the above
should be placed in a separate linen hamper
 When linen hampers and biohazard bag are full they should be
drawn closed, removed from the holder and stacked for collection
 A new bag should then be placed on the holder
 Wash hands thoroughly
27 | P a g e
iii Blood Spills or Droplets
 To be treated with a 70% ethanol solution (kept in each treatment
room)
 Wear gloves
 Wipe up spill with paper towel
 Dispose of paper towel and gloves in biohazard bag
 1:10 dilution of household bleach and leave for at least 10
minutes before drying with a disposable towel
 Wearing gloves, wipe the surface clean with paper towels
 Dispose of paper towels and glovers in the waste bin
iv. Needling Incidents
In case of accidental exposure to infection due to a prick or stab
with a needle previously used on a patient, the incident must be
reported immediately to the Clinic Supervisor and an
Accident/Incident Report Form must be filled out. Then the
practitioner must go the closest Emergency Room and be tested
and treated according to the hospital’s infection control
procedures.
11. Handling Disposal of Sharps
i.




ii.
Syringes and Needles:
Only approved disposable needles are to be used in the clinic
Acupuncture needles should always be placed in a sturdy dish or
tray for transportation between preparation areas, site of use and
disposal areas
Acupuncture needles should be placed in a sharps container
immediately after they are removed from the patient. The use of
kidney dishes and other such trays to transfer the needles
must be avoided
Acupuncture needles must not be bent, broken or otherwise
manipulated
Sharps Containers
 The person using the sharp is responsible for its proper disposal
 Needles should be placed into the designated Sharps Container
with care
 Sharps Containers should be sealed and replaced before
becoming overfilled
28 | P a g e
 Sharps Containers should always be located as close as
possible to the area where the sharps are being generated
 Sharps Containers should always be positioned away from other
waste containers
 Change Sharps Containers before they become full
 Other infectious (e.g. Swabs) should be placed in the biohazard
container
12. Disclosure of Student Status
All students undertaking clinical practice in the Acupuncture & TCM
Clinic must inform patients of the following prior to any patient contact:
 Name
 Student Status
All practitioners should wear appropriate identification badges. This is
the same as your “Student ID”. If you do not have a student ID, please
inform both your clinical supervisor and request one from the office of
admissions.
Further responsibilities of students regarding disclosure of status:
 Ascertain that the patient can read and/or verbally communicated
in English. If the patient cannot, an interpreter should be
requested
 Wear an identification badge while working or studying at the
Clinic
 Obtain patient’s consent prior to obtaining an initial history,
performing physical examination and initiating any treatment
13. Clinical Dress Code
 A lab coat must be worn at all times when on duty in the clinic
 Shoes must be of the “closed” style, clean and well kept.
Running shoes and sneakers are not considered suitable attire
 Neat, well-presented attire of a “conservative or professional”
style is expected to be worn at the Clinic. At all sites attire is to be
appropriate and the standards required are left to the discretion
of the Clinic Manager.
 A student who does not meet the required standards will be
refused permission to attend Clinic
29 | P a g e
 Name tags must be worn at all times so they are visibly to both
the supervisor and the patients
14. Guidelines on Patient Care
i. Principles of Patient Care
Patients are the most important people in our clinic. As an
Acupuncturist or TCM Practitioner, all effort should be directed toward
the patient’s well-being. In principle, Acupuncturists, TCM Practitioners
and students should:
1) Develop the professional responsibilities, including:
 Pursuing high standards and continuing education
 Following the code of professional ethics
 Respecting patient’s rights
 Preserving good health (self-care)
 Caring for supplies and equipment
 Demonstrating professional conduct at all times
2) Develop the professional attitudes, including:
 Treating all patients with courtesy, respect and compassion
 Referring to patients by name
 Being polite, efficient, sympathetic/empathetic
 Communicating effectively with patients and co-workers
ii. Management of Patients
In the Acupuncture & TCM Clinic, Acupuncturists, TCM
Practitioners and students will experience a variety of patient
personalities and patients with special challenges, which will need
patience and a great deal of common sense. Acupuncturists, TCM
Practitioners and students should:
1) Be aware of emotional problems associated with:
 Illness (dying and death, aggressive patients)
 Treatment/examination procedures
 Acupuncture/TCM clinics/hospitals
2) Be careful when dealing with:
 Patient’s valuables
30 | P a g e
 Relatives
 Patients with language barriers
3) Be aware of physical problems associated with:
 Disabilities, i.e. impaired vision, hearing problems, physical and
mental challenges
 Age (children, elderly)
iii. Communication with Patients
The practitioner should always do her/his best to communicate with
and understand the patient’s needs.
 Always give the patient enough time
 Face the patient squarely when talking or listening
 Keep good eye contact, showing interest and concern
 Create the opportunity for personal communication by adopting a
natural stance
 Try to be at the same eye level as the patients
 Bring comfort to a distressed patient by touching her/him (but
establish first that this is acceptable)
 Share a sense of humor with patients
 Encourage patients to talk of their fears and problems by asking
“open ended” questions
 Explain to the patient what is going to happen during the
treatment and what the patient is to do during the treatment
iv. Patient Transfer and Positioning
For patient’s safety the practitioner should:
 Plan the treatment and prepare the work area
 Enlist the patient’s help and co-operation
 Obtain additional help when necessary
 Hold the patients, not the equipment
 Tell the patient what is going to happen
The Patient’s positioning should be:




Safe
Comfortable
Supportive
Padded
31 | P a g e
v. Preparation of Treatment Room
In general, the treatment room contains:
 Clean bed linen and examination paper
 Clean gowns
 Extra linen for covering and robing
 Sharps Container
 Disposable container
 Hazardous waste container
 Acupuncture/TCM equipment
 Sterile equipment used for aseptic procedures
vi. Patient Preparation for Acupuncture/TCM Treatment
Treatment
Acupuncturists/TCM Practitioners and students should follow the Code
of Professional Conduct to prepare their patients for an
Acupuncture/TCM treatment.
Before treatment:
 Guide patient to the treatment room
 Give patient instructions for proper exposure and positioning
 Leave the room and let patient undress and put on gown
 Signal the patient before re-entering the room (knock on door,
etc.)
During treatment:
 Uncover only the body parts being used in this acupuncture
treatment session
 Cover the parts not for treatment to keep the patient warm and
comfortable
 Avoid touching the acupuncture needles in use by covering or
robbing
After treatment
 Remove needles and put directly into disposable container
 Leave the room and let the patient change in privacy
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vii. Unprofessional Conduct
The following conduct is considered “unprofessional”. It has the
potential of endangering the health and safety of patients and public:
 Committing a fraudulent or dishonest act as an
Acupuncturist/TCM Practitioner resulting in substantial injury to
another
 Using any substance such as a dangerous drug, or alcoholic
beverage to an extent or in a manner dangerous to himself or
herself, to any other person, or to the public
 Conviction of a crime substantially related to the qualifications,
functions, or duties of an Acupuncturist/TCM Practitioner, the
record of conviction being conclusive evidence thereof
 Improper advertising
 Violating or conspiring to violate patient’s rights
 Assault and battery
 False imprisonment
 Invasion of privacy
 Libel and slander
 Gross negligence and repeated negligent acts
 Incompetence and malpractice
 Except for good cause, the knowing failure to protect the patients
by failing to follow infection control guidelines of the
Acupuncture/TCM Clinic at OCTCM, thereby risking transmission
of blood-borne infectious diseases
 Making inappropriate or sexual remarks or actions toward
patients or other staff members or students
 Making false claims regarding one’s education, experience and
professional title
viii. Informed Consent
An informed consent is defined as a full explanation of the procedure,
in terms, the patient can understand. Informed consent can be given
in both written and verbal form. In most situations both are necessary.
In the Acupuncture/TCM Clinic at OCTCM, an informed consent is
required for any and all procedures before they are performed.
Additional informed consent may be required for :
 Procedures which may involve a special risk
 Procedures which are given by students
 Audio/visual observation/recording
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TCM Practitioners/Herbalists/Massage & Qi Gong Practitioners
OCTCM students of TCM, Herbal Medicine, Massage or Qi Gong are
expected to follow the same guidelines outlined in this handbook.
Students with appropriate training in herbal medicine are expected to
suggest herbal formulas to patients only after consultation with the
Clinic Supervisor. When patients do not wish to take Herbal Medicine,
the supervisor may require that the Student Practitioner still write a
“suggested herbal prescription” for the purpose of the students learning
and application of the herbs.
Special attention and additional
appropriate precautions must be taken when prescribing herbal
medicine including:
 special attention to the accurate diagnosis and treatment
principle as it pertains to the Herbal Prescription
 any food allergies the patient may have
 any medications the patient may be taking
 any vitamins or supplements the patient may be taking
any signs of weak organ function especially the heart, liver or

kidneys
Food preferences such as vegetarian or vegan

Massage and Qi Gong students are expected to pay extra attention to:
 Patient’s physical pains and limitations
 Exercise experience
 Breathing/respiratory or Heart problems
 Areas that patient does not want to be touched or exposed
 Allergies (especially to massage oils, etc.)
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Appendices
Appendix A: Code of Professional Ethics for Acupuncturists/TCM
Practitioners
The practitioners and students of Acupuncture/TCM, who practice
within the Ontario College of Traditional Chinese Medicine, honor and
uphold the following moral and ethical guidelines of professional
practice:
 Provide appropriate Acupuncture and Traditional Chinese
Medicine treatments with respect and dignity of all people,
regardless of race, gender, age, socioeconomic status or sexual
orientation
 Consistently maintain high standards or practice
 Be guided the patient’s physical and emotional welfare by placing
the healing relationship and well-being of the patient at the center
of practice
 Maintain patient confidentiality at all times
 Ensure patient care without any conflict of professional interest
 Provide guidance for patients to reach their own capacity for
informed choice
 Encourage collaboration with and respect for all other health care
providers
 Be motivated by the heart to be of service to others
Appendix B: Patients’ Rights
The patient has the right:
 To considerate and respectful care
 To obtain from her/his Acupuncturist/TCM Practitioner complete
current information concerning his diagnosis, treatment, and
prognosis in terms the patient can be reasonably expected to
understand. When it is not medically advisable to give such
information to the patient, the information should be made
available to an appropriate person on her/his behalf.
 To know, by name, the
responsible for her/his care
Acupuncturist/TCM
Practitioner
 To
Acupuncturist/TCM
Practitioner
35 | P a g e
receive
from
her/his
information necessary to give informed consent prior to the start
of any procedure and/or treatment. Except in emergencies, such
information for informed consent should include, but not
necessarily be limited to, the specific procedure and/or treatment,
the medically significant risks involved, and the probable duration
of incapacitation. Where medically significant alternatives for
care or treatment exist, or when the patient requests information
concerning medical alternatives, the patient has the right to such
information. The patient also has the right to know the name of
the person responsible for the procedures and/or treatment
 To refuse treatment to the extent permitted by law and to be
informed of the medical consequences of her/his action
 To every consideration of her/his privacy concerning her/his own
medical care program. Case discussion, consultation,
examination, and treatment are confidential and should be
conducted discretely. Those not directly involved in her/his care
must have the permission of the patient to be present
 To expect that all communications and records pertaining to
her/his care should be treated as confidential
 To expect that within her/his capacity, a clinic must make
reasonable response to the request of a patient for services. The
clinic must provide evaluation, service, and/or referral as
indicated by the urgency of the case. When medically
permissible, a patient may be transferred to another facility only
after she/he has received complete information and explanation
concerning the needs for and alternatives to such a transfer. The
institution to which the patient is to be transferred must first have
accepted the patient for transfer
 To obtain information as to any relationship of the clinic to other
health care and educational institutions insofar as her/his care is
concerned. The patient has the right to obtain information as to
the existence of any professional relationships among
individuals, by names, who are treating her/him
 To be advised if the clinic proposes to engage in or perform
human experimentation affecting her/his care or treatment. The
patient has the right to refuse to participate in such research
36 | P a g e
projects
 To expect reasonable continuity of care
 To know in advance what appointment times
Acupuncturists/TCM Practitioners are available and where
and
 To expect that the clinic will provide a mechanism whereby the
patient is informed by the Acupuncturist/TCM Practitioner or
delegate of the continuing health care requirements following
discharge
 To examine and receive an explanation of her/his bill, regardless
of source of payment
 To know what clinic rules and regulations apply to her/his
conduct as a patient
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Appendix C: OCTCM Student Clinic Informed Consent
Form
1. I understand that the Student Clinic is a teaching clinic designed to introduce
students to real practice conditions. Students and their classmates are not
professional practitioners, and therefore have limited skills. They will treat
within their scope of practice which may limit treatment choices.
2. I understand that students may not be able to anticipate all possible risks and
complications of treatment as set out below.
3. I understand that a supervisor will be available at most times and may
intervene during any part of treatment. Observation by other students will be
required for educational purposes.
4. I understand that “Acupuncture” treatment involves the penetration of skin by
sterile, one-time-use, disposable filiform needles. There are additional methods
of treatment, within the scope of acupuncture and “Traditional Chinese
Medicine” that may be used in addition to, instead, or in combination with
needles. The scope includes:










Assessment by the collection of data by interviewing, observation,
palpation, pulse taking, tongue observation and other methods;
Acupressure and therapeutic massage (tui-na, (Chinese massage), stone
massage, shiatsu, reflexology);
Dietary herbal supplements and Chinese or Western herbal medicine;
Nutritional counseling;
Energy-flow work, exercises or other prescribed forms of movement
(e.g. Reiki, Qigong, Tai Chi);
Heat therapy with the use of mugwort (moxibustion) or a heat lamp
over localized areas;
Glass cups “fire- cupping”, plastic suction cups;
Gua sha tools for scraping;
Electrical stimulation of acupuncture needles
LED (Light therapy)
5. I understand that as the patient, I must inform the practitioners of
medications, medical history, sensitivities to smoke or scents, if I am currently
pregnant, have a bleeding disorder or any communicable or contagious
conditions that could be passed to others. I understand that I must lie still
during treatment; am responsible to ask questions regarding treatment details
if explanations provided are not clear or understood; have a right to refuse
treatment at any point; must take any herbal teas or medicines according to
the instructions provided orally and in writing.
6. I understand that patients are advised to tell their doctor they are receiving
acupuncture and TCM, to avoid possible treatment conflicts. Patients are
encouraged to report their outcomes to their doctors.
38 | P a g e
7. I understand that the assessment, diagnosis, and treatment of medical
conditions by TCM varies from Western medicine.
8. I understand that the fees for acupuncture treatment at the Student Clinic are
not covered by insurance and it is therefore my responsibility to cover the full
cost of my treatment.
9. I understand that I must give the clinic 24 hours’ notice of cancellation
otherwise I may be charged the full session fee.
10. I understand that acupuncture does not typically provide an instant cure. For
most serious or chronic ailments, more than one treatment, along with some
lifestyle and dietary changes, may be necessary for noticeable changes to take
place. I understand that if I am in need of a professional diagnosis and
treatment I may approach a professional acupuncture clinic.
Risks and Complications of Treatment
I understand that there is risk of side effects, which may include:
Pain
Acupuncture needling may cause an initial “prick” as it punctures the skin followed by
a temporary achy sensation, numbness, or tingling at or near the needling sites that
may radiate. These are all normal needling sensations and may last a few
days. Please tell your practitioner if any sensation is too strong so they can adjust the
treatment accordingly.
Tuina (Chinese Massage), acupuncture insertion, acupuncture stimulation, electroacupuncture, cupping, guasha, qigong (exercise), may all cause pain. Patient
feedback is important for the student practitioner to adjust the treatment when
necessary ;
Electrical stimulation of acupuncture needles produce a mild vibration/tapping
sensation on the needles, which may be painful;
Bruising
Bruising may occur anytime we puncture the skin. If you can not have bruises on
some area of the body, please inform your practitioner. The normal reaction of
cupping and “gua sha” scraping is to leave red marks or bruising. This will usually
slowly resolve on it’s own with 5-10 days and is part of the intentional therapeutic
effect.
Infection
It is possible to develop an infection whenever the skin is punctured despite using
single use disposable needles and clean needle technique. Please inform us if you
have a known immune problem so we can take special precautions.
39 | P a g e
Burns & Smoke Irritation
Heat therapy and moxibustion may cause redness, blistering or unintentional burns
and/or scarring. It is important to verbally communicate with your practitioner if any
heat therapy feels too hot. Smoke from moxibustion may cause coughing, lung
irritation, headaches or allergic reactions for those sensitive to scents or smoke;
Feeling of Relaxed or Sleepy
It is common to feel relaxed or sleepy after treatment so avoid getting up too quickly
and rushing anywhere directly after treatment. Give yourself time to adjust after
treatment before driving or using the stairs or any other potentially dangerous
activity.
Dizziness & Fainting
Dizziness or fainting can occur as a result of treatment. Please tell us if you are prone
to fainting. Important factors that can decrease this risk include ensuring you have
had sufficient food, ensuring you have not had any drugs or alcohol prior to
treatment, communicating if the stimulation is uncomfortably strong, and getting up
slowly after treatment.
Drug-herb Interactions
Herbal dietary supplements (which are from plant, animal, and mineral sources) may
have a strong smell or taste, be toxic in large doses, may be inappropriate during
pregnancy and have some side effects such as uneasiness in the stomach, nausea,
loose stools or other digestive reactions. If you experience such a reaction to the
herbs you should inform your practitioner. Do not take herbs within two hours of
taking other medications as they may interfere with each other. If you experience any
adverse side effects, stop taking the herbs and contact your practitioner
immediately. Severe allergic reactions are rare, however, if you experience severe
allergic reactions, seek immediate medical attention. Oils, plasters, or other topical
herbs may stain clothing or skin and may cause skin irritation. If the skin is irritated,
reduce frequency and quantity. If irritation continues, discontinue use entirely and
contact your practitioner for an alternative.
Auricular acupuncture patches need to be removed after 3 days to avoid infection;
Other unusual risks include spontaneous miscarriage, nerve damage, organ
puncture, lung puncture (pneumothorax), infection, shock, complication,
death and other unknown and unintended side effects;
During the course of treatments some symptoms may temporarily
worsen
before improving
Consent
Revoking consent
I understand that this initial consent is to educate and explain my treatment and that I
may verbally revoke my consent to any treatment at any time.
40 | P a g e
I understand that by seeking treatment from the Student Clinic I am paying much less
than what I would be paying for treatment from a qualified practitioner and voluntarily
accept any risks associated with student treatment.
I therefore agree to waive any rights for legal liability that I could have against
“Ontario College of Traditional Chinese Medicine” or any person associated including
the student practitioner.
I hereby request and give consent for treatment at the *Ontario College of Traditional
Chinese Medicine* using modalities within the scope of “Acupuncture” and “Traditional
Chinese Medicine” as described above.
By signing below, I confirm I have read, understood, asked questions and agree to
the above Terms of Treatment.
Name of Patient (Printed) ________________________________________________
Patient Signature ___________________________________ Date:_______________
Practitioner(s) Signature _____________________________ Date:______________
………………………………………………………………..…………
End of Consent Form
41 | P a g e
Appendix D: Verbal Informed Consent Checklist
I (Student Therapist) discussed the following with my patient:
The nature of treatment:
Areas Treated:
YES NO
YES NO
Areas patient does not want touched:
Expected Benefits:
YES NO
YES NO
Material Risks:
Possible Treatment Reactions:
YES NO
YES NO
Techniques used (Acupuncture, Auricular
Acupuncture, Scalp Acupuncture, Moxa,
Cupping, Tui Na, WHM) :
YES NO
I asked the patient if they had any questions
or concerns:
YES NO
Student Therapist’s Signature:
__________________________________
Instructor’s Signature:
__________________________________
42 | P a g e
Appendix E: Accepted Abbreviations and Descriptive Terms for
Charting
Medical/TCM Abbreviations
A-P
AP & Lateral for CXR
a.c.
abd.
ABG
ad lib
AF
AI
ALT
AM
amt.
ant.
ap
AQ, aq
ARMD
AST
AV
b.i.d.
b.i.n.
B.R.P.
BL*
BM
BP
BUN
/c
C or cent.
caps.
cc.
CHF
cm.
CNS
CSF
CV
D and C
D.C.
DNA
DNR
DPT
DU*
Dx
43 | P a g e
anterior-posterior
anterior, posterior & lateral views
before meals
Abdomen
arterial blood gas
freely, as desired
arterial fibrillation
aortic insufficiency
alanine aminotransferase
morning
Amount
Anterior
before dinner
water
age related macular degeneration
aspartate aminotransferase
atrioventricular
twice a day
twice a night
bathroom privileges
bladder
bowel movement
blood pressure
blood urea nitrogen
with
Centigrade
capsule
cubic centimeter
congestive heart failure
centimeter
central nervous system
cerebral spinal fluid
cardiovascular
dilatation and curettage
discontinue
deoxyribonucleic acid
do not resuscitate
diphtheria-pertussis-tetanus (vaccine)
Du, governing vessel (GV in some texts)
diagnosis
ECCG
ECT
EEG
EMG
EMS
ENT
ER
ESR
FEV
fld.
FP
FSH
GB*
GI
gm.
GRAS
gtt.
GU
Gyn.
H20
HA
hgb
hrs.
hs
HT*
I&O
I.U.
IM
INF
IQ
IUCD
IV
kg
KI*
KUB
L
l.
lab.
LBP
LE
LH
LI*
LLQ
lmp
LP
LR*
44 | P a g e
electrocardiogram
electroconvulsive therapy
electroencephalogram
electromyogram
emergency medical services
ear, nose, throat
emergency room
erythrocyte sedimentation rate
forced respiratory volume
Fluid
family practice
follicle-stimulating hormone
gallbladder (both TCM and Western)
gastrointestinal
gram
generally regarded as safe
drops
genitourinary
gynecology
water
headache
haemoglobin
hours
bedtime
heart
in and out
International unit
intramuscular
interferon
intelligence quotient
intrauterine contraceptive device
intravenous
kilogram
kidney
kidney, ureters and bladder
left
litre
Laboratory
low back pain
lupus erythematosus
luteinizing hormone
large intestine
left lower quadrant
last menstrual period
lumbar puncture
liver
LU*
LUQ
mcg
mEq
mg.
MI
Ml
MMR
MB*
MRI
MS
MVA
N/S
NMR
noct.
NPO
NSAID
NSR
Obs.
OC
OD
OJ
OPC
OR
OS
oz
p.c.
PC*
PERRLA
pH
PO
PP
PRN
q3h
q2h
q.i.d.
q.p.
q.s.
qh
RBC
REM
RN*
RNA
RQ
RUQ
45 | P a g e
lung
left upper quadrant
microgram
milliequivalent
milligram
myocardial infarction
millilitre
measles-mumps-rubella (vaccine)
moxibustion
magnetic resonance imagin
mitral stenosis, multiple sclerosis
motor vehicle accident
normal saline
nuclear magnetic resonance
at night
nothing by mouth
non-steroidal anti-inflammatory drug
normal sinus rhythm
obstetrics
oral contraceptive
right eye
orange juice
out patient clinic
operating room
left eye
ounce
after meals
pericardium
pupils equal, regular, react to light and
accommodation
hydrogen ion concentration
by mouth
postprandial, after meals
when necessary, as needed
every three hours
every 2 hours
4 times a day
as much as desired
sufficient quantity, as much as needed
every hour
red blood cells; red blood count
rapid eye movement
Ren, Conception Vessel (CV in some texts)
ribonucleic acid
respiratory quotient
right upper quadrant-abdomen
Rx
/s
SI*
SJ*
SOB
SP*
spec.
SQ/s.c.
ss.
ST*
STAT
t.i.d.
TLC
TPR
TSH
ung.
URI
UTI
UV
WBC
WC
WDWN
Wt.
x
therapy
without
small intestine
san jiao (variations: TB-triple burner, TE-triple
energizer)
shortness of breath
spleen
specimen
subcutaneous
one half
stomach
at once
three times a day
total lung capacity, tender loving care
temperature, pulse, respiration
thyroid stimulating hormone
ointment
upper respiratory infection
urinary tract infection
ultraviolet
white blood cells; white blood count
wheel chair
well developed, well nourished
Weight
times
TCM Reference for Needling, Moxibustion and Cupping
+
=
*

46 | P a g e
reinforce
reduce
even reinforcing-reducing
cutaneous needle
three-edged needle
moxa cone
moxa stick
warming needle
cupping
Descriptive terms used for charting
Areas of abdomen:
1.
Right hypochondriac region
2.
Epigastric region
3.
Left hypochondriac region
4.
Right lumbar region
5.
Umbilical region
6.
Left lumbar region
7.
Right iliac region
8.
Hypogastric region
9.
Left iliac region
Quadrants (abdomen):
1.
Right upper quadrant
2.
Left upper quadrant
3.
Right lower quadrant
4.
Left lower quadrant
Areas of the back
Small of back: Lumbar region
End of spine: Sacral region
Buttocks: Gluteal region
Amounts
Large: Excessive, profuse, copious
Moderate: Moderate, usual
Small: Scanty, slight
General appearance
Thin/undernourished: Emaciated
Fat/greatly overweight: Obese
Very sick: Acutely ill
Bleeding
Very little: Oozing
Nosebleed: Epistaxis
Blood in vomitus: Hematemesis
Blood in urine: Hematuria
Coughing/spitting blood: Hemoptysis
Breathing
Difficulty breathing: Dyspnea, dyspneic
Rapid breathing: Hyperpnea
47 | P a g e
Appendix F: Acupuncture Needling Safety Policy
All acupuncture staff and students must follow the acupuncture
needling safety policy in the Acupuncture Clinic and lab sessions.
Objectives:
 To ensure a safe and healthy environment for all staff and
students
 To ensure compliance with all relevant legislation
 To prevent accidents
Responsibilities:
 All faculty and students must take every precaution to work in a
safe and healthy manner
 Any acupuncture needling procedure on a human body
conducted by students must be done under supervision of
acupuncture faculty in the OCTCM Clinic or in an assigned
acupuncture clinical site
 ONLY sterilized disposable acupuncture needles are used at
OCTCM
 Before the needling procedure, all acupuncture needles must be
inspected carefully to avoid using poor quality needles that might
cause accidents
 If a patient panics, is fatigued or hungry, or has over-eaten at the
time of treatment, the acupuncture needling procedure must be
delayed
 All sterilization procedures for acupuncture treatment must be
strictly followed
 If the skin area has inflammation or recent scar tissue, all
acupuncture needling procedures must be avoided
 All acupuncture needles, scalpels and other sharp objects must
be discarded into the proper sharps containers for disposal
 All unused acupuncture needles must be stored in a safe and
assigned place
 All acupuncture equipment must be handled carefully and stored
according to instructions
 In the event of an accident, the student must report the
accident/incident immediately to the Clinical Supervisor, to
Administration, and complete the Student Incident/Accident
48 | P a g e
Report Form
 Students must not perform any acupuncture needling procedures
on the human body outside the institute of assigned clinical sites
 All faculty and students must wear lab coats in the
Acupuncture/TCM clinic
Appendix G: Universal Precautions and the Use of Gloves
Universal Precautions have been adopted in the day-to-day practice of
allied health care professionals because screening for all infectious
diseases is impractical and because screening does not necessarily
preclude the presence of infectious disease.
The policy pertaining to the use of gloves in the clinic is a result of the
wide spread concern for potential cross contamination with the use of
acupuncture needles. This concern is validated by the Toronto Public
Health Communicable Disease Department.
It is strongly recommended to use one glove for needle withdrawal for
each patient without exception. The glove should be worn on the nondominant hand, which swabs and/or applies the cotton ball. The
manipulating hand is not gloved.
Although the acupuncture needle is of a small diameter, it is inserted
below the level of the dermis and is able to draw blood and/or body
fluids out in minuscule amounts not visible macroscopically. The use of
acupuncture needles, therefore, is not free of risk of disease
transmission during needle withdrawal.
 All students/interns and clinical educators/instructors should use
gloves (on the non-dominant hand) whenever withdrawing one or
several needles especially if there is any potential bleeding
(head, larger needles, patient who bleeds easily). This procedure
will be strictly monitored and enforced.
 All gloves are to be disposed into the biohazard bags.
 It is be the duty of the students to maintain an adequate glove
supply and report the need for re-ordering to the administrative
assistant.
 This policy does not waive the need to wear gloves at all times if
the student/intern, and/or patient has open lesions or sores on
his/her hands or the area to be needled.
49 | P a g e
Objectives and Student Requirements
The Clinical Practicum
The clinical component of the Acupuncture/TCM Program at OCTCM
commences in the second semester of the first year and continues
throughout the program. OCTCM faculty are dedicated to offering its
students the most professional, hands-on experience of
Acupuncture/TCM, and thus, great value is placed on the clinical
practicum and internships.
Objectives
Although the student is gradually introduced to the responsibilities
associated with the practice of acupuncture and TCM throughout the
clinical practicum, the main goal of the course is for the student to be
able to:
 Develop competency as a primary health care practitioner under
the guidance of the clinical teachers.
 Develop sound knowledge base to be able to apply appropriate
Chinese medical diagnosis in the clinical setting and devise a
management strategy from an initial assessment, carrying to all
aspects required for a safe practice of acupuncture.
 Interact with patients in a sensitive manner, attend and engage in
a dialogue with the patient on issues relevant to their health
concerns.
 Develop knowledge of the Canadian health care system and its
networks, enabling students to link their patients where
necessary into this system.
Supervision
Students undertaking clinical education are offered a variety of settings
both on and off campus. Supervision is provided by OCTCM faculty
and traditionally trained practitioners associated with the
Acupuncture/TCM program. Students who elect to complete their
internship overseas must do so either under the college’s internship in
China or in a location approved by OCTCM.
Student Requirements
During clinical placement, the student should be able to demonstrate
abilities in the following areas:
50 | P a g e
 Students will be selected during the practical clinic term to be a
clinical leader.
 Students are responsible to check the clinical leader list to
perform their duties.
 The list will be posted by the Office Manager / Clinical supervisor.
 Each student will be a Clinical Leader at least 1-3 times or more
for each clinical rotation depending on the number of students in
the clinic.
a)












Clinical Leader Responsibilities:
There will be 1 clinical leader for each clinic.
Come and leave the clinic on time.
Check the booking list and prepared the patient files.
Call to confirm the appointment with patient for the next clinical
practice day.
Make sure all the files are properly stored securely after the
treatment.
Check all rooms for cotton, alcohol, needles, linens, towels,
pillows & refill if necessary.
Inform or write notes regarding supply shortage or any damage
or missing equipment in the clinic. Forward the notice to the
Office Manager or secretary ASAP.
Divide students in that clinical day into groups of 3 or 4 (Based
on their time of arrival to the clinic).
Make sure everything is tidy and safe before leaving the clinic.
Helping the clinical supervisor to overlook the clinic for the day.
Make sure each group perform their duties such as patient care
that have been assigned, booking for appointment, cleaning up
treatment bay after each treatment, etc.
Gently remind the groups about their duties, and if clinical
procedures are not followed properly, report to the Clinical
Supervisor.
b) Self-Actualization:
 Identify and substantiate his/her diagnosis
 Establish a position in relation to issues important to the patient
 Learn to feel secure within themselves and accept feedback from
the patients and colleagues
 Be prepared to take into account other diagnostic interpretations
different from their own
51 | P a g e
c) Ability to Communicate
 Listen and hear what is said
 Show respect, empathy and compassion
 Make an appropriate response to the situation presented and to
the patient’s emotions
 Be orderly in clinical intervention and treatment
 Identify what needs to be clarified and dealt with in future
sessions
 Appropriate questioning to enable correct point selection
 Communicate clearly and specifically and check back with
patient to clarify misunderstandings
 Treat the presenting problems and clarify with patients other
areas to be treated
 Explain clearly what happens in an acupuncture session and
explain how many treatments will be required
 Strictly observed and flow appropriate aseptic procedures
 Write referrals, formal letters and reports to other practitioners
and pertinent community resources
 Be punctual, and be able to establish priorities in workload
 Contribute to case history discussions
“The biggest mistake you can make is to always be right.”
d) Ability to Conceptualize
 Asses which is important in the treatment in relation to the
patients’ health needs
 Understand that there may be more than one way to treat or
respond to a patient’s needs
 Be able to modify and change ideas, goals and treatments
 Conceptualize classroom learning and be able to interpret
practically
 Accept that patients are individuals and all have their differences
e) Use of Learning to Practice
 To accept responsibility for learning and to participate in creating
situations where learning can occur
 Seek out information/skills/opinions of others to implement
52 | P a g e







learning
Initiate and use a variety of learning patterns e.g. Observation of
other practitioners reflections on trial and error, comparison,
reading, discussion, and taped interviews
Be prepared to learn new skills
Share thoughts and actions with clinical teachers and fellow
students
Be open to new ideas and have an ability to express one’s own
new ideas
Show one has an expanding appreciation of people
Think through actions and issues, accept and give positive
feedback and encouraging advise
Accept and give positive feedback and encouraging advise
f) Attendance Requirements
In order to complete the clinical practicum, students are required to do
the following:
 Attend all clinical sessions
 Sign the Student Attendance Record (this must be filled in by
each student at the commencement of each clinical session and
signed by the supervising practitioner after students have signed
their names).
 Students are required to remain in the clinic for the entire clinical
session. If student leave early or are lasted, without prior notice,
they will be docked marks and hours.
 Be present at least 15 minutes prior to the beginning of the
session, to help set up, review patient details and focus on the
duties at hand
 Remain at the session until the finish or until given permission to
leave by the Clinical Supervisor.
If a student is unable to attend a clinical practicum session for reasons
other than illness, the following procedures must be followed:
 Contact the Clinical Supervisor and Office Manager to inform
her/him of your absence.
 Find a replacement and let Clinical Supervisor and Office
Manager know of the change.
 Inform the Clinical Supervisor and Office Manager as soon as
53 | P a g e
possible thereafter (within 2 days).
 If unable to find a replacement, make alternative booking for your
patients and within 24 hours you are to provide a written
statement directly to the Clinical Supervisor and Office Manager,
which includes the following information:
a. The reason you could not attend.
b. Provide details of the people you contacted
c. This information must be sent directly to the Clinical
Supervisor and Office Manager within 7 days of the date
missed at the Clinic.
In case of illness:
 Contact the Clinical Supervisor and Office Manager and advise
her/him of the situation.
 Provide medical certificate from an approved practitioner or other
suitable corroborative evidence of reason for not attending and
send to the Clinical Supervisor and Office Manager within 7 days
of the date missed at the Clinic.
 Please refer to the Attendance Policies outlined in the OCTMC
brochure.
“What the caterpillar calls the end of the world, the master calls a
butterfly.” --- Richard Bach
Failure to follow the above steps could result in a student being
removed from Clinical Practicum and/or failed in that particular Clinical
Practicum.
 A student who misses more than one rotation session will be
expected to come before a staff review and if the staff are not
satisfied with the student’s explanation, that student will fail the
respective Clinical Practice and be barred from Clinical rotations
for a nominated period of time.
 As students complete their allotted rotation, they must
communicate with patients they have treated on a regular basis
that another student practitioner will be taking over from them.
 Students are required to complete all tasks which fall under the
heading of TCM treatments e.g. Acupuncture, massage, cupping,
moxibustion, etc. when asked to do so by a clinical teacher
(unless student feels uncomfortable with her/his abilities of
confidence, in which case a meeting with the Academic Advisors,
54 | P a g e
Clinical Supervisor and student is required as soon as possible).
Failure to do so will mean removal of name from rotations.
General Guidelines for Attending Clinical Practicum Sessions:
 Participate when and how your level requires.
 Remember that the Student Practitioners/Assistants are under
the supervision and direction of the Clinical Supervisor and the
final word on any issue is the Clinical Supervisor’s (if a situation
occurs where a student questions the safety and ethical methods
of the Clinical Supervisor, the student must write a letter to the
Executive Director outlining the situation and reason for
concern).
 It is the responsibility of the Student Assistant to negotiate with
the Student Practitioner as the type and level of assistance
required. Remember what you learn is all up to you.
Clinical Practicum
Clinical Evaluation Strategies Component
Course Evaluation
The student must attain a mark of 70% or higher in ALL Clinical
Practice courses in order to successfully complete their Clinical
Education. Throughout the courses, the students will be evaluated
in numerous ways.
Course Outlines
Students can refer to the OCTCM Catalog for outlines of each
practicum rotation. Please Acquaint yourself with these objectives
as they serve as a guideline for the supervisor to assess your TCM
and technical knowledge. The identified objectives for each rotation
must be completed to be successful in that rotation.
Case Studies
Students are evaluated on their competency in performing various
skills and on their level of TCM and technical knowledge by the use
of case studies and oral presentations. Each student will complete
the case studies in the rotations identified in the course outlines.
Each case study will be graded (as per case study evaluation
checklist) and be assigned a mark out of each Clinical Practice final
55 | P a g e
mark. The student will be asked to do an oral presentation of their
case studies which is mandatory and will be graded.
Professional Performance
You will also receive evaluations on your professional performance.
Evaluation reports are given to students at intervals (Interim
Evaluations) and at the end of clinical practicum (Summative
Evaluations).
Clinical supervisors may employ other methods to cover the
rotational objectives and to help in their assessment your medical
and technical knowledge. These methods may include postrotational tests, written assignments, oral presentation, and bedside
questioning.
“It’s never too late – never too late to start over, never too late
to be happy.” --- Jane Fonda
Criteria for Successful Completion of Clinical Education
1. Courses must be passed according to evaluation strategies
outlined in each separate course outline.
2. Acceptable professional performance in all clinical practice
3. Successful completion of all clinical practice
4. Demonstration of safe practice throughout all clinical practice
5. Demonstration of ethical behavior at all times.
Professional Performance Evaluations (PPE)
Guidelines
Professional Performance Evaluations are used to assess the
student’s behavior while they are completing their clinical education. A
student must have acceptable PPE throughout the program.
These assessments are given during each and every Clinical
Practicum.
Below are the definitions of “acceptable” and
“unacceptable” evaluations.
A professional performance evaluation will be deemed acceptable:
56 | P a g e
 A minimum score of 70% is attained for all evaluations received
in all Clinical Practicum throughout the Program
A professional performance evaluation will be deemed unacceptable if
any of the following occur:
 When a student receives two or more zero scores in any of the
categories on any one evaluation.
 A repeat zero in the same category on any subsequent
evaluation.
 Any zero score in Ethical Behavior.
Students can ask the Clinical Supervisor for a copy of the Professional
Performance Evaluation form.
Successful Completion of All Clinical Practica
Each student must successfully complete the scheduled rotations. The
evaluation criteria include specific objectives (refer to course outline)
that are to be accomplished during that rotation as well as Professional
Performance Evaluations. Every student should read about each
clinical practicum before beginning it as there may be pre-reading for
the rotation and there are identified “areas for review” that will assist
the student in preparing for the rotation.
Demonstration of Safe Practice Throughout All Clinical Practica
A student must demonstrate to their supervisor, acupuncture staff
and all to her health care team members that they are competent
practitioners. Unsafe practice arises when there is a lack of
knowledge and preparation by the students or when the students
are not conscientious about their work. Unsafe practice also arises
when a student (or any health care worker) fails to recognize the
limits of their abilities and does not seek assistance when
appropriate to do so. When a student is found to be negligent or
found to use unsafe procedures, an Incident Report will be filed to
the Clinic/College and Program Coordinator. Any incident of unsafe
practice can lead to the dismissal of the student from the program.
Advice is like snow; the softer it falls the longer it dwells upon,
and the deeper it sinks into the mind
---Samuel T. Coleridge
57 | P a g e
Demonstration of Ethical Behavior at All Times
Any student whose behavior is deemed to be unethical, improper or
unbecoming of a health care professional may be dismissed
immediately from the program.
“Deal with the faults of others as gently as with your own.”
--- Chinese proverb
Clinical Practice Expectation
Students are expected to review the Clinical Practicum course
outline in the OCTCM clinical handbook for specific requirements
and expectations of each rotation. Students of the OCTCM clinic
are expected to assist with the overall smooth running of each
clinical session, including recruiting patients for the clinic.
Clinical Practicum Course Outline: Guideline for Acupuncture
& TCM Diploma‘s students:
Diploma of Acupuncture
Direct Supervision
 30hr – CLI-601: Intro Clinic – This is an introductory clinic that
reviews in detail the clinical procedures outlined in this
handbook.
 60hr(total 90) – CLI-602: Observation and assistance only.
Before 90 hrs, the student should not be doing anything but
observing and assisting the senior students or supervisor in
treating the patient (treatment bay preparation, clean-up, open
needles, etc.)
 30hr(total 90-120) – CLI 603: Diagnosis and intake should be
performed during this time. However: if the student has not
completed the first two diagnosis (TCM-104, TCM-105) courses
they cannot perform diagnosis. In fact, if the student has not
completed the diagnosis courses they should not enroll in more
than the initial 90 hours of observation.
 60hr (120-180hrs) – CLI-604: Needling arms and legs. The
student must have completed the pre-requisites: Acu-moxa
1(ACU-205) and meridians & acupoints 2 and 3 (ACU-203). If
students have not completed these courses then they should not
be attending clinic hours beyond 120 hrs.
58 | P a g e
 60hr(180-240hrs) – CLI-605: Needle the posterior torso
 90hr(240-330hrs) – CLI-606:Needle anterior torso and face.
Indirect Supervision
 210hr(330-540) – CLI-607: Full clinical intern
Off-site
 60hr(540-600hrs) – CLI-608: Offsite Acupuncture Clinic.
Diploma of TCMP
Off Site
 60hr(600-660hrs) – CLI-609: Offsite Herbal Clinic.
 120hr (660-780hrs) – CLI-610: Onsite Clinical practice
Advanced Diploma of TCM
Off Site
 60hrs (780-840hrs) – CLI-611: Offsite advanced clinic
 210hrs (840-1050hrs) – CLI-612: On site Advanced Clinical
Practice
Off Site
 60hrs (1050-1110hrs) – CLI-613: Offsite advanced clinic
- NOTE: regardless of the number of clinical hours completed, the
clinical supervisor will have the full right to stop the student
from needling the patient if the supervisor thinks that the safety of
the patient is compromised.
- Student will be supervised by clinical supervisor at all time until
they graduate.
- Notice: the OCTCM has the right to change this guideline at any
time according to its requirements and possible regulation in the
future.
59 | P a g e
Acupuncture Tables
Yin Meridians
Jing-well
(Wood)
LU
PC
HT
SP
LV
KD
Yang
Meridians
LU 11
PC 9
HT 9
SP 1
LV 1
KD 1
Jing-well
(Metal)
LI
TH
SI
ST
GB
UB
LI 1
TH 1
SI 1
ST 45
GB 44
UB 67
Yingspring
(Fire)
LU 10
PC 8
HT 8
SP 2
LV 2
KD 2
Yingspring
(Water)
LI 2
TH 2
SI 2
ST 44
GB 43
UB 66
Shustream
(Earth)
LU 9
PC 7
HT 7
SP 3
LV 3
KD 3
Shustream
(Wood)
LI 3
TH 3
SI 3
ST 43
GB 41
UB 65
Jing-river
(Metal)
He-Sea
(Water)
LU 8
PC 5
HT 4
SP 5
LV 4
KD 7
Jing-river
(Fire)
LU 5
PC 3
HT 3
SP 9
LV 8
KD 10
He-Sea
(Earth)
LI 5
TH 6
SI 5
ST 41
GB 38
UB 60
LI 11
TH 10
SI 8
ST 36
GB 34
UB 40
Lower He-Sea points
Large Intestine
Triple Heater
Small Intestine
ST 37
UB 39
ST 39
-Yang Ming-Shao Yang-Tai Yang-
Stomach
Gall Bladder
Urinary Bladder
ST 36
GB 34
UB 40
Xi Cleft Points
LU
LI
ST
SP
HT
SI
LU 6
LI 7
ST 34
SP 8
HT 6
SI 6
UB
KD
PC
TH
GB
LV
UB 63
KD 5
PC 4
TH 7
GB 36
LV 6
Yin Qiao
Yang Qiao
Yin Wei
Yang Wei
KD 8
UB 59
KD 9
GB 35
Yuan Source Points
Lung
Large Intestine
Stomach
Spleen
Heart
Small Intestine
60 | P a g e
LU 9
LI 4
ST 42
SP 3
HT 7
SI 4
Urinary Bladder
Kidney
Pericardium
Triple Heater
Gall Bladder
Liver
UB 64
KD 3
PC 7
TH 4
GB 40
LV 3
Luo Connecting Points
Lung
Large Intestine
Stomach
Spleen
Heart
Small Intestine
LU 7
LI 6
ST 40
SP 4
HT 5
SI 7
Urinary Bladder
Kidney
Pericardium
Triple Heater
Gall Bladder
Liver
UB 58
KD 4
PC 6
TH 5
GB 37
LV 5
Back Shu Points
Lung
Large Intestine
Stomach
Spleen
Heart
Small Intestine
Governing Vessel
Qihai (Sea of Qi)
Zhonglu
Gaohuang (Vital Region)
UB 13
UB 25
UB 21
UB 20
UB 15
UB 27
UB 16
UB 24
UB 29
UB 43
Urinary Bladder
Kidney
Pericardium
Triple Heater
Gall Bladder
Liver
Diaphragm
Guanyuan
Baihuan (White Ring)
UB 28
UB 23
UB 14
UB 22
UB 19
UB 18
UB 17
UB 26
UB 30
Front Mu Points
Lung
Large Intestine
Stomach
Spleen
Heart
Small Intestine
LU 1
ST 25
CV 12
LV 13
CV 14
CV 4
Urinary Bladder
Kidney
Pericardium
Triple Heater
Gall Bladder
Liver
CV 3
GB 25
CV 17
CV 5
GB 24
LV 14
Hui Meeting Points
Zang
Fu
Qi
Blood
LV 13
CV 12
CV 17
UB 17
Sinews
Vessels
Bones
Marrow
GB 34
LU 9
UB 11
GB 39
Master & Coupled Points
Extraordinary Vessel
Conception Vessel
Governing Vessel
Chong Vessel
Dai Vessel
Yin Qiao Vessel
Yang Qiao Vessel
Yin Wei Vessel
Yang Wei Vessel
61 | P a g e
Master Point
LU 7
SI 3
SP 4
GB 41
KD 6
UB 62
PC 6
TH 5
Coupled Point
KD 6
UB 62
PC 6
TH 5
LU 7
SI 3
SP 4
GB 41
Command Points
Abdomen
Lumbar Region
Head & Posterior Neck
Face & Mouth
Heart, Chest & Epigastrium
Fainting & Collapse
ST 36
UB 40
LU 7
LI 4
PC 6
GV 26
The Four Seas
Sea of Qi
Sea of Blood
Sea of Water & Grain
Sea of Marrow
ST 9, CV 17, GV 15, GV 14
UB 11, ST 37, ST 39
ST 30 (upper point), ST 36 (lower point)
GV 20, GV 16
Window of the Sky Points
From Ling Shu
Renying
Futu
Tianyou
Tianzhu
Tianfu
Ch. 21
ST 9
LI 18
TH 16
UB 10
LU 3
From Ling Shu
Tiantu
Tianchuang
Tianrong
Fengfu
Tianchi
Ch. 2
CV 22
SI 16
SI 17
GV 16
PC 1
Thirteen Ghost Points of Sun Simiao
Point Number
GV 26
GV 23
GV 16
CV 24
LU 11
LI 11
PC 7
PC 8
ST 6
SP 1
UB 62
Guifeng (Extra Point)
on the underside of
the tongue, one cun from
the tip of the midline
Essentially CV 1
originally described as
Yumentou (Extra Point - Women)
/Yinxiafeng (Extra Point - Men)
62 | P a g e
Point Name
Ghost Palace
Ghost Hall
Ghost Pillow
Ghost Market
Ghost Faith
Ghost Leg
Ghost Heart
Ghost Cave
Ghost Bed
Ghost Fortress
Ghost Path
Ghost Seal
Ghost Store
Entry Exit Points
LU
LI
PC
TH
HT
SI
SP
ST
LV
GB
KD
UB
Entry
LU 1
LI 4 *(LI 1)
PC 1
TH 1
HT 1
SI 1
SP 1
ST 1
LV 1
GB 1
KD 1
UB 1
Exit
LU 7 *(LU 11)
LI 20
PC 8 *(PC 9)
TH 22 *(TH 23)
HT 9
SI 19
SP 21
ST 42 *(ST 45)
LV 14
GB 41 *(GB 44)
KD 22 *(KD 27)
UB 67
“When you are content to be simply yourself and don’t
compare or compete, everybody will respect you.”
Lao-Tzu
63 | P a g e
Acupuncture Terminology
Meridians
Collateral
Meridian and Collateral
Main Meridian
Extra Meridian
Meridian Point
Extra Point
Acupuncture Point
Jing
Luo
Jingluo
Zhengjing
Qijing
Jingxue
Qixue
Zhenjiuxue
經/经
絡/络
經絡/经络
正經/正经
奇經/奇经
經穴/经穴
奇穴/奇穴
針灸穴/针灸穴
Standard Nomenclature of filiform needles
Handle
Root
Body
Tip
Zhenbing
Zhengen
Zhenti
Zhenjian
針柄/针柄
針根/针根
針體/针体
針尖/针尖
Standard Nomenclature of the unit of measurement
B-cun (bone proportional cun)
Gudu Fencun
骨度分寸/骨度分寸
F-cun (finger cun)
Shouzhi Tongshencun
手指同身寸/手指同身寸
Standard measurements of six parts of the body were adopted as
follows:
1. from the upper border of the Manubrium to the end of the body of the Sternum
=9 B-cun
2. from the end of the body of the Sternum to the Umbilicus = 8 B-cun
3. from the Umbilicus to the upper border of the Symphysis pubis = 5 B-cun
4. from the Medial Malleolus to the ground = 3 B-cun
5. from the great Trochanter to the knee joint = 19 B-cun
6. from the knee joint to the prominence of Lateral Malleolus = 16 B-cun
64 | P a g e
Shear needle
Round-point
Spoon needle
Lance needle
Stiletto needle
Round-sharp needle
Filiform needle
Long needle
Big needle
chanzhen
needleyuanzhen
chizhen
fengzhen
pizhen
yuanlizhen
haozhen
changzhen
dazhen
鑱針/镵针
圓針/圆针
鍉針/鍉针
鋒針/锋针
鈹針/铍针
圓利針/圆利针
毫針/毫针
長針/长针
大針/大针
Standard nomenclature of modern needles
Three-edged needle
Ringheaded thumbtack needle
Intradermal needle
Dermal needle
sanlengzhen
xianzhen
pineizhen
pifuzhen
三稜針/三棱针
鍁針/锨针
皮内針/皮内针
皮膚針/皮肤针
The English language name of the 14 meridians and their common
abbreviations:
Lung Meridian
LU
Large Intestine Meridian
LI
Stomach Meridian
ST
Spleen Meridian
SP
Heart Meridian
HT
Small Intestine Meridian
SI
Bladder Meridian
BL(UB)
Kidney Meridian
KI(KD)
Pericardium Meridian
PC
Triple Energizer Meridian
TE(SJ/TW/TB)
Gallbladder Meridian
GB
Liver Meridian
LR(LV)
Governor Vessel Meridian
GV(Du)
Conception Vessel Meridian
CV(Ren)
65 | P a g e
Arm Taiyin
Arm Yangming
Leg Yangming
Leg Taiyin
Arm Shaoyin
Arm Taiyang
Leg Taiyang
Leg Shaoyin
Arm Jueyin
Arm Shaoyang
Leg Shaoyang
Leg Jueyin
Governor Vessel (GV)
Conception Vessel (CV)
Flush Vessel (FV)
Belt Vessel (BV)
Yin Heel Vessel (Yin HV)
Yang Heel Vessel (Yang HV)
Yin Link Vessel (Yin LV)
Yang Link Vessel (Yang LV)
Dumai
Renmai
Chongmai
Daimai
Yinqiaomai
Yangqiaomai
Yinweimai
Yangweimai
督脈/督脉
任脈/任脉
衝脈/冲脉
帶脈/带脉
陰蹻脈/阴跷脉
陽蹻脈/阳跷脉
陰維脈/阴维脉
陽維脈/阳维脉
Acupoint Nomenclature Index
Point
Chinese Name
English
Pinyin
Lung Meridian, LU.
Shoutaiyin Feijing xue
LU-1
LU-2
LU-3
LU-4
LU-5
LU-6
LU-7
LU-8
LU-9
LU-10
LU-11
LI-1
LI-2
LI-3
LI-4
LI-5
LI-6
LI-7
LI-8
LI-9
LI-10
LI-11
LI-12
66 | P a g e
中府
雲門
天府
俠白
尺澤
孔最
列缺
經渠
太淵
魚際
少商
手太陰肺經/手太阴肺经
Zhongfu
Middle Palace
Yunmen
Cloud Gate
Tianfu
Palace of Heaven
Xiabai
Clasping the White
Chize
Cubit Marsh
Kongzui
Maximum Opening
Lieque
Broken Sequence
Jingqu
Channel Gutter
Taiyuan
Supreme Abyss
Yuji
Fish Border
Shaoshang
Lesser Shang
zhōng fǔ
yún mén
tiān fǔ
xiá bái
chǐ zé
kǒng zuì
liè quē
jīng qú
tài yuān
yú jì
shào shāng
商陽
二間
三間
合谷
陽谿
偏歴
溫溜
下廉
上廉
手三里
曲池
肘髎
Large Intestine Meridian, LI.
Shouyangming Dachang-Jing xue
手陽明大腸經/手阳明大肠经
Shangyang
Shang Yang
Erjian
Second Space
Sanjian
Third Space
He Gu
Joining Valley
Yangxi
Yang Stream
Pianli
Veering Passage
Wenliu
Warm Flow
Xialian
Lower Angle
Shanglian
Upper Angle
Shousanli
Arm Three Miles
Quchi
Pool at the Crook
Zhouliao
Elbow Crevice
shāng yáng
èr jiān
sān jiān
hé gǔ
yáng xī
piān lì
wēn liū
xià lián
shàng lián
shǒu sān lǐ
qū chí
zhǒu liáo
LI-13
LI-14
LI-15
LI-16
LI-17
LI-18
LI-19
LI-20
St-1
St-2
St-3
St-4
St-5
St-6
St-7
St-8
St-9
St-10
St-11
St-12
St-13
St-14
St-15
St-16
St-17
St-18
St-19
St-20
St-21
St-22
St-23
St-24
St-25
St-26
St-27
St-28
St-29
St-30
St-31
St-32
67 | P a g e
手五里
臂臑
肩髃
巨骨
天鼎
扶突
口禾髎
迎香
Shouwuli
Binao
Jianyu
Jugu
Tianding
Futu
Kouheliao
Yingxiang
Arm Five Miles
Upper Arm
Shoulder Bone
Great Bone
Heaven's Tripod
Support the Prominence
Mouth Grain Crevice
Welcome Fragrance
承泣
四白
巨髎
地倉
大迎
頰車
下關
頭維
人迎
水突
氣舍
缺盆
氣戶
库房
屋翳
膺窗
乳中
乳根
不容
承满
梁門
關門
太乙
滑肉門
天樞
外陵
大巨
水道
归来
氣沖
髀關
伏兔
Stomach Meridian, ST
Zuyangming Weijing xue
足陽明胃經/足阳明胃经
Chengqi
Container of Tears
Sibai
Four Whites
Juliao
Great Crevice
Dicang
Earth Granary
Daying
Great Welcome
Jiache
Jaw Bone
Xiaguan
Below the Joint
Touwei
Head's Binding
Renying
Man's Welcome
Shuitu
Water Prominence
Qishe
Abode of Qi
Quepen
Empty Basin
Qihu
Qi Door
Kufang
Storehouse
Wuyi
Room Screen
Yingchuang
Breast Window
Ruzhong
Middle of the Breast
Rugen
Root of the Breast
Burong
Not Contained
Chengman
Supporting Fullness
Liangmen
Beam Gate
Guanmen
Pass Gate
Taiyi
Supreme Unity
Huaroumen
Slippery Flesh Gate
Tianshu
Heaven's Pivot
Wailing
Outer Mound
Daju
The Great
Shuidao
Water Passage
Guilai
Return
Qichong
Rushing Qi
Biguan
Thigh Gate
Futu
Crouching Rabbit
shǒu wǔ lǐ
bì nào
jiān yú
jù gǔ
tiān dǐng
fú tū
kǒu hé liáo
yíng xiāng
chéng qì
sì bái
jù liáo
dì cāng
dà yíng
jiá chē
xià guān
tóu wéi
rén yíng
shǔi tū
qì shè
quē pén
qì hù
kù fáng
wū yì
yìng chuāng?
rǔ zhōng
rǔ gēn
bù róng
chéng mǎn
liáng mén
guān mén
tài yǐ
huá ròu mén
tiān shū
wài líng
dà jù
shuǐ dào?
guī lái?
qì chōng
bì guān
fú tù
St-33
St-34
St-35
St-36
St-37
St-38
St-39
St-40
St-41
St-42
St-43
St-44
St-45
阴市
梁丘
犊鼻
足三里
上巨虛
條口
下巨虛
豐隆
解谿
沖陽
陷谷
内庭
厲兌
SP-1
SP-2
SP-3
SP-4
SP-5
SP-6
SP-7
SP-8
SP-9
SP-10
SP-11
SP-12
SP-13
SP-14
SP-15
SP-16
SP-17
SP-18
SP-19
SP-20
SP-21
隱白
大都
太白
公孫
商丘
三陰交
漏谷
地機
陰陵泉
血海
箕門
沖門
府舍
腹結
大横
腹哀
食竇
天谿
胸鄉
周榮
大包
Yinshi
Yin Market
Liangqiu
Ridge Mound
Dubi
Calf's Nose
Zusanli
Leg Three Miles
Shangjuxu
Upper Great Void
Tiaokou
Lines Opening
Xiajuxu
Lower Great Void
Fenglong
Abundant Bulge
Jiexi
Stream Divide
Chongyang
Rushing Yang
Xiangu
Sunken Valley
Neiting
Inner Courtyard
Lidui
Strict Exchange
Spleen Meridian, SP.
Zutaiyin Pijing xue
足太陰脾經/足太阴脾经
Yinbai
Hidden White
Dadu
Great Metropolis
Taibai
Supreme White
Gongsun
Grandfather Grandson
Shangqiu
Shang Mound
Sanyinjiao
Three Yin Intersection
Lougu
Dripping Valley
Diji
Earth Pivot
Yinlingquan
Yin Mound Spring
Xuehai
Sea of Blood
Jimen
Winnowing Gate
Chongmen
Rushing Gate
Fushe
Abode of the Fu
Fujie
Abdomen Knot
Da heng
Great Horizontal
Fuai
Abdomen Sorrow
Shidou
Food Cavity
Tianxi
Heavenly Stream
Xiongxiang
Chest Village
Zhourong
Encircling Glory
Dabao
Great Wrapping
極泉
青靈
少海
Heart Meridian, HT
Shoushaoyin Xinjing xue
手少陰心經/手少阴心经
Jiquan
Summit Spring
Qingling
Green Spirit
Shaohai
Lesser Sea
HE-1
HE-2
HE-3
68 | P a g e
yīn shì
liáng qīu
dú bí
zú sān lǐ
shàng jù xū
tiáo kǒu
xià jù xū
fēng lóng
jiě xī
chōng yáng
xiàn gǔ
nèi tíng
lì duì
yǐn bái
dà dū
taì bái
gōng sūn
shāng qiū
sān yīn jiāo
loù gǔ
dì jī
yīn líng qúan
xuè hǎi
jī mén
chōng mén
fǔ shè
fù jié
dà héng?
fù āi
shí dòu
tiān xī
xiōng xiāng
zhōu róng
dà bāo
jí quán
qīng líng
shào hǎi
HE-4
HE-5
HE-6
HE-7
HE-8
HE-9
靈道
通里
陰郄
神門
少府
少沖
Lingdao
Tongli
Yinxi
Shenmen
Shaofu
Shaochong
Spirit Path
Penetrating the Interior
Yin Cleft
Spirit Gate
Lesser Palace
Lesser Rushing
SI-1
SI-2
SI-3
SI-4
SI-5
SI-6
SI-7
SI-8
SI-9
SI-10
SI-11
SI-12
SI-13
SI-14
SI-15
少澤
前谷
後谿
腕骨
陽谷
養老
支正
小海
肩貞
臑俞
天宗
秉風
曲垣
肩外俞
肩中俞
SI-16
SI-17
SI-18
SI-19
天窗
天容
顴髎
聽宮
Small Intestine Meridian, SI
Shoutaiyang Xiaochangjing xue
手太陽小腸經/手太阳小肠经
Shaoze
Lesser Marsh
Qiangu
Front Valley
Houxi
Back Stream
Wangu
Wrist Bone
Yanggu
Yang Valley
Yanglao
Support the Aged
Zhizheng
Branch of Upright
Xiaohai
Small Sea
Jianzhen
True Shoulder
Naoshu
Upper arm transporter
Tianzong
Heavenly Gathering
Bingfeng
Grasping the Wind
Quyuan
Crooked Wall
Jianwaishu
Outer Shoulder Transporter
Jianzhongshu Middle
Shoulder
Transporter
Tianchuang
Heavenly Window
Tianrong
Heavenly Appearance
Quanliao
Cheek Bone Crevice
Tinggong
Palace of Hearing
睛明
攢竹
眉衝
曲差
五處
承光
通天
絡卻
玉枕
天柱
大杼
Bladder Meridian, BL Zutaiyang
pangguangjing xue
足太陽膀胱經/足太阳膀胱经
Jingming
Bright Eyes
Zanzhu
Gathered Bamboo
Meichong
Eyebrows' Pouring
Quchai
Crooked Curve
Wuchu
Fifth Place
Chengguang
Receiving Light
Tongtian
Heavenly Connection
Luoque
Declining Connection
Yuzhen
Jade Pillow
Tianzhu
Celestial Pillar
Dazhu
Great Shuttle
Bl-1
Bl-2
Bl-3
Bl-4
Bl-5
Bl-6
Bl-7
Bl-8
Bl-9
Bl-10
Bl-11
69 | P a g e
líng dào
tōng lǐ
yīn xī
shén mén
shào fǔ
shào chōng
shào zé
qián gǔ
hòu xī
wàn gǔ
yáng gǔ
yǎng lǎo
zhī zhèng
xiǎo hǎi
jiān zhēn
nāo shū
tiān zōng
bǐng fēng
qū yuán
jiān wài shū
jiān zhōng
shū
tiān chuāng
tiān róng
quán liáo
tīng gōng
jīng míng
cuán zhú
méi chōng
qǔ chā?
wǔ chǔ
chéng guāng
tōng tiān
luò què
yù zhěn
tiān zhù
dà zhù
Bl-12
Bl-13
Bl-14
Bl-15
Bl-16
Bl-17
Bl-18
Bl-19
Bl-20
Bl-21
Bl-22
Bl-23
Bl-24
Bl-25
Bl-26
風門
肺俞
厥陰俞
心俞
督俞
膈俞
肝俞
膽俞
脾俞
胃俞
三焦俞
腎俞
氣海俞
大腸俞
關元俞
Bl-27
小腸俞
Bl-28
膀胱俞
Bl-29
Bl-30
Bl-31
Bl-32
Bl-33
Bl-34
Bl-35
Bl-36
Bl-37
Bl-38
Bl-39
Bl-40
Bl-41
Bl-42
Bl-43
中膂俞
白環俞
上髎
次髎
中髎
下髎
會陽
承扶
殷門
浮郄
委陽
委中
附分
魄戶
膏肓俞
Bl-44
Bl-45
Bl-46
Bl-47
Bl-48
Bl-49
神堂
譩譆
膈關
魂門
陽綱
意舍
Bl-50
胃倉
70 | P a g e
Fengmen
Feishu
Jueyinshu
Xinshu
Dushu
Geshu
Ganshu
Danshu
Pishu
Weishu
Sanjiaoshu
Shenshu
Qihaishu
Dachangshu
Guanyuanshu
Wind Gate
Lung Transporter
Jueyin Transporter
Heart Transporter
Governor Transporter
Diaphragm Transporter
Liver Transporter
Gallbladder Transporter
Spleen Transporter
Stomach Transporter
Sanjiao Transporter
Kidney Transporter
Sea of Qi Transporter
Large Intestine Transporter
Gate of Origin Transporter
fēng mén
fèi shū
jué yīn shū
xīn shū
dū shū?
gé shū
gān shū
dǎn shū
pí shū
wèi shū
sān jiāo shū
shèn shū
qì hǎi shū?
dà cháng shū
guān yuán
shū
Xiaochangshu Small Intestine Transporter xiǎo cháng
shū
Pangguangshu Bladder Transporter
páng guāng
shū
Zhonglushu
Mid-Spine Transporter
zhōng lǚ shū
Baihuanshu
White Ring Transporter
bái huán shū
Shangliao
Upper Crevice
shàng liáo
Ciliao
Second Crevice
cì liáo
Zhongliao
Middle Crevice
zhōng liáo
Xialiao
Lower crevice
xià liáo
Huiyang
Meeting of Yang
huì yáng
Chengfu
Hold and Support
chéng fú
Yinmen
Gate of Abundance
yīn mén
Fuxi
Floating Cleft
fú xī
Weiyang
Outside of the Crook
wěi yáng
Weizhong
Middle of the Crook
wěi zhōng
Fufen
Attached Branch
fù fēn
Pohu
Door of the Corporeal Soul pò hù
Gaohuangshu Vital Region Shu
gāo huāng
shū
Shentang
Hall of the Spirit
shén táng
Yixi
Yi Xi ?
yì xǐ?
Geguan
Diaphragm Gate
gé guān
Hunmen
Gate of the Ethereal Soul
hún mén
Yanggang
Yang's Key Link
yáng gāng
Yishe
Abode of Consciousness of yì shě?
Potentials
Weicang
Stomach Granary
wèi cāng
Bl-51
Bl-52
Bl-53
Bl-54
Bl-55
Bl-56
Bl-57
Bl-58
Bl-59
Bl-60
Bl-61
Bl-62
Bl-63
Bl-64
Bl-65
Bl-66
Bl-67
肓門
志室
胞肓
秩邊
合陽
承筋
承山
飛陽
跗陽
昆侖
僕參
申脈
金門
京骨
束骨
足通谷
至陰
Huangmen
Zhishi
Baohuang
Zhibian
Heyang
Chengjin
Chengshan
Feiyang
Fuyang
Kunlun
Pucan
Shenmai
Jinmen
Jinggu
Shugu
Zutonggu
Zhiyin
Kd-1
Kd-2
Kd-3
Kd-4
Kd-5
Kd-6
Kd-7
Kd-8
Kd-9
Kd-10
Kd-11
Kd-12
Kd-13
Kd-14
Kd-15
Kd-16
Kd-17
Kd-18
Kd-19
Kd-20
涌泉
然谷
太谿
大鐘
水泉
照海
復溜
交信
築賓
陰谷
橫骨
大赫
氣穴
四滿
中注
肓俞
商曲
石關
陰都
腹通谷
Kd-21
Kd-22
幽門
步廊
Kidney Meridian, KI
Zushaoyin Shenjing xue
足少陰腎經/足少阴肾经
Yong Quan
Gushing Spring
Rangu
Blazing Valley
Taixi
Supreme Stream
Dazhong
Great Bell
Shuiquan
Water Spring
Zhaohai
Shining Sea
Fuliu
Returning Current
Jiaoxin
Exchange Belief
Zhubin
Guest House
Yingu
Yin Valley
Henggu
Pubic Bone
Dahe
Great Luminance
Qixue
Qi Cave
Siman
Four Fullnesses
Zhongzhu
Middle Flow
Huangshu
Vitals Transporter
Shangqu
Shang Bend
Shiguan
Stone Pass
Yindu
Yin Metropolis
Futonggu
Abdomen
Connecting
Valley
Youmen
Hidden Gate
Bulang
Walking Corridor
71 | P a g e
Vitals Gate
Residence of the Will
Bladder's Vitals
Order's Limit
Confluence of Yang
Support the Sinews
Support the Mountain
Soaring Upwards
Instep Yang
Kunlun Mountains
Servant's Respect
Extending Vessel
Golden Gate
Capital Bone
Restraining Bone
Foot Connecting Valley
Reaching Yin
huāng mén
zhì shì
bāo huāng
zhì biān
hé yáng
chéng jīn
chéng shān
fēi yáng
fū yáng
kūn lún
pú cān
shēn mài
jīn mén
jīng gǔ
shù gǔ
zú tōng gǔ
zhì yīn
yǒng quán
rán gǔ
taì xī
dà zhōng
shuǐ quán
zhào hǎi
fù liū
jiāo xìn
zhú bīn
yīn gǔ
héng gǔ
dà hè
qì xué?
sì mǎn
zhōng zhù
huāng shū
shāng qū
shí guān
yīn dū
fù tōng gǔ
yōu mén
bù láng
Kd-23
Kd-24
Kd-25
Kd-26
Kd-27
神封
靈墟
神藏
彧中
俞府
Shenfeng
Lingxu
Shencang
Yuzhong
Shufu
天池
天泉
曲澤
郄門
間使
內關
大陵
勞宮
中衝
Pericardium Meridian, PC
Shoujueyin Xinbaojing xue
手厥陰心包經/手厥阴心包经
Tianchi
Heavenly Pool
Tianquan
Heavenly Spring
Quze
Marsh at the Crook
Ximen
Xi-Cleft Gate
Jianshi
Intermediate Messenger
Neiguan
Inner Pass
Daling
Great Mound
Laogong
Palace of Toil
Zhongchong
Middle Rushing
SJ-1
SJ-2
SJ-3
SJ-4
SJ-5
SJ-6
SJ-7
SJ-8
SJ-9
SJ-10
SJ-11
關衝
液門
中渚
陽池
外關
支溝
會宗
三陽絡
四瀆
天井
清冷淵
Triple Energizer Meridian, TE.
Shoushaoyang Sanjiaojing xue
手少陽三焦經/手少阳三焦经
Guanchong
Rushing Pass
Yemen
Fluid Gate
Zhongzhu
Central Islet
Yangchi
Yang Pool
Waiguan
Outer Pass
Zhigou
Branch Ditch
Huizong
Ancestral Meeting
Sanyangluo
Three Yang Meeting
Sidu
Four Rivers
Tianjing
Heavenly Well
Qinglengyuan Clear Cold Abyss
SJ-12
SJ-13
SJ-14
SJ-15
SJ-16
SJ-17
SJ-18
SJ-19
SJ-20
SJ-21
SJ-22
消濼
臑會
肩髎
天髎
天牖
翳風
契脈?
顱息
角孫
耳門
耳和髎
Xiaoluo
Naohui
Jianliao
Tianliao
Tianyou
Yifeng
Qimai
Luxi
Jiaosun
Ermen
Erheliao
Pc-1
Pc-2
Pc-3
Pc-4
Pc-5
Pc-6
Pc-7
Pc-8
Pc-9
72 | P a g e
Spirit Seal
Spirit Ruin
Spirit Storehouse
Comfortable Chest
Shu Mansion
Dispersing Luo River
Upper Arm Meeting
Shoulder Crevice
Heavenly Crevice
Window of Heaven
Wind Screen
Spasm Vessel
Skull's Rest
Minute Angle
Ear Gate
Ear Harmony Crevice
shén fēng
líng xū
shén cáng
yù zhōng
shū fǔ
tiān chí
tiān quán
qū zé
xī mén
jiān shǐ
nèi guān
dà líng
láo gōng
zhōng chōng
guān chōng
yè mén
zhōng zhǔ
yáng chí
wài guān
zhī gōu
huì zōng
sān yáng luò
sì dú
tiān jǐng
qīng lěng
yuān
xiāo luò
nào huì
jiān liáo
tiān liáo
tiān yǒu
yì fēng
qì mài?
lú xī?
jiǎo sūn
ěr mén
ěr hé liáo
SJ-23
絲竹空
Sizhukong
Gb-1
Gb-2
Gb-3
Gb-4
Gb-5
Gb-6
Gb-7
Gb-8
Gb-9
Gb-10
Gb-11
Gb-12
Gb-13
Gb-14
Gb-15
Gb-16
Gb-17
Gb-18
Gb-19
Gb-20
Gb-21
Gb-22
Gb-23
Gb-24
Gb-25
Gb-26
Gb-27
Gb-28
Gb-29
Gb-30
Gb-31
Gb-32
Gb-33
Gb-34
瞳子髎
聽會
上關
頷厭
懸顱
懸厘
曲鬢
率谷
天沖
浮白
頭竅陰
完骨
本神
陽白
頭臨泣
目窗
正營
承靈
腦空
風池
肩井
淵腋
輒筋
日月
京門
帶脈
五樞
維道
居髎
環跳
風市
中瀆
膝陽關
陽陵泉
Gallbladder Meridian, GB
Zushaoyang Danjing xue
足少陽膽經/足少阳胆经
Tongziliao
Pupil Crevice
Tinghui
Meeting of Hearing
Shangguan
Above the Joint
Hanyan
Jaw Serenity
Xuanlu
Suspended Skull
Xuanli
Suspended Hair
Qubin
Crook of the Temple
Shuaigu
Leading Valley
Tianchong
Heavenly Rushing
Fubai
Floating White
Touqiaoyin
Yin Portals of the Head
Wangu
Mastoid Process
Benshen
Root of the Spirit
Yangbai
Yang White
Toulinqi
Head Governor of Tears
Muchuang
Window of the Eye
Zhengying
Upright Nutrition
Chengling
Support Spirit
Naokong
Brain Hollow
Fengchi
Wind Pool
Jianjing
Shoulder Well
Yuanye
Armpit Abyss
Zhejin
Flank Sinews
Riyue
Sun and Moon
Jingmen
Capital Gate
Daimai
Girdling Vessel
Wushu
Five Pivots
Weidao
Linking Path
Juliao
Stationary Crevice
Huantiao
Jumping Circle
Fengshi
Wind Market
Zhongdu
Middle Ditch
Xiyangguan
Knee Yang Gate
Yanglingquan
Yang Mound Spring
Gb-35
Gb-36
Gb-37
Gb-38
陽交
外丘
光明
陽輔
Yangjiao
Waiqiu
Guangming
Yangfu
73 | P a g e
Silken Bamboo Hollow
Yang Intersection
Outer Hill
Bright Light
Yang Assistance
sī zhú kōng
tóng zǐ liáo
tīng huì
shàng guān
hàn yàn
xuán lú
xuán lí
qū bìn
shuài gǔ
tiān chōng
fú bái
tóu qiào yīn
wán gǔ
běn shén
yáng bái
tóu lín qì
mù chuāng
zhèng yíng
chéng líng
nǎo kōng
fēng chí
jīan jǐng
yuān yè
zhé jīn
rì yuè
jīng mén
dài mài
wǔ shū
wéi dào
jū liáo
huán tiào
fēng shì
zhōng dú
xī yáng guān
yáng líng
quán
yáng jiāo
wài qiū
guāng míng
yáng fǔ
Gb-39
Gb-40
Gb-41
Gb-42
Gb-43
Gb-44
懸鐘
丘墟
足臨泣
地五會
俠谿
足竅陰
Xuanzhong
Qiuxu
Zulinqi
Diwuhui
Xiaxi
Zuqiaoyin
Suspended Bell
Mound of Ruins
Foot Governor of Tears
Earth Five Meetings
Clamped Stream
Yin Portals of the Foot
Liver Meridian, LR
Zujueyin Ganjing xue
足厥陰肝經/足厥阴肝经
Liv-1
Liv-2
Liv-3
Liv-4
Liv-5
Liv-6
Liv-7
Liv-8
Liv-9
Liv-10
Liv-11
Liv-12
Liv-13
Liv-14
Du-1
Du-2
Du-3
Du-4
Du-5
Du-6
Du-7
Du-8
Du-9
Du-10
Du-11
Du-12
Du-13
Du-14
Du-15
Du-16
Du-17
74 | P a g e
大敦
行間
太沖
中封
蠡溝
中都
膝關
曲泉
陰包
足五里
陰廉
急脈
章門
期門
dà dūn
xíng jiān
taì chōng
zhōng fēng
lǐ gōu
zhōng dū
xī guān
qū quán
yīn bāo
zú wǔ li?
yīn lián
jí mài
zhāng mén
qí mén
長強
腰俞
腰陽關
命門
懸樞
脊中
中樞
筋縮
至陽
霊台
神道
身柱
陶道
大椎
啞門
風府
腦戶
Governor Vessel Meridian, GV
Dumai xue
督脈/督脉
cháng qiáng
yāo shū
yāo yáng guān
mìng mén
xuán shū
jì zhōng?
zhōng shū
jīn suō
zhì yáng
líng tái
shén dào
shēn zhù
táo dào
dà zhuī
yǎ mén
fēng fǔ
nǎo hù
xuán zhōng
qiū xū
zú lín qì
dì wǔ huì
xiá xī
zú qiào yīn
Du-18
Du-19
Du-20
Du-21
Du-22
Du-23
Du-24
Du-25
Du-26
Du-27
Du-28
強間
後頂
百會
前頂
囟會
上星
神庭
素髎
人中
兌端
齦交
qiáng jiān
hòu dǐng
bǎi huì
qián dǐng
xìn huì
shàng xīng
shén tíng
sù liáo
rén zhōng
duì duān
yín jiāo
Conception Vessel Meridian, CV
Renmai xue
任脈/任脉
Ren-1
Ren-2
Ren-3
Ren-4
Ren-5
Ren-6
Ren-7
Ren-8
Ren-9
Ren-10
會陰
曲骨
中極
關元
石門
氣海
陰交
神闕
水分
下脘
Ren-11
Ren-12
建里
中脘
Ren-13
上脘
Ren-14
Ren-15
Ren-16
Ren-17
Ren-18
Ren-19
Ren-20
Ren-21
Ren-22
Ren-23
Ren-24
巨闕
鳩尾
中庭
膻中
玉堂
紫宮
華蓋
璇璣
天突
廉泉
承漿
75 | P a g e
huì yīn
qū gǔ
zhōng jí
guān yuán
shí mén
qì hǎi
yīn jiāo
shén què
shuǐ fēn
xià wǎn [or xià
guǎn]
jiàn lǐ
zhōng
wǎn
[or zhōng
guǎn]
shàng
wǎn
[or shàng
guǎn]
jù què
jiū wěi
zhōng tíng
shān zhōng
yù táng
zǐ gōng
huá gài
xuán jī
tiān tū
lián quán
chéng jiāng
WHO Standard Nomenclature
of Extra Points
EX-B2
jiáji
EX-B3
wèiwanxiàshu
EX-B4
pigen
WHO
Pinyin
EX-HN1
sìshéncong
EX-B5
xiàzhìshì
EX-HN2
dangyáng
EX-B6
yaoyí
EX-HN3
yìntáng
EX-B7
yaoyan
EX-HN4
yúyao
EX-B8
shíqizhui
EX-HN5
tàiyáng
EX-B9
yaoqí
EX-HN6
erjian
EX-UE1
zhoujian
EX-HN7
qiúhòu
EX-UE2
èrbái
EX-HN8
shàngyíngxiang
EX-UE3
zhongquán
EX-HN9
nèiyíngxiang
EX-UE4
zhongkuí
EXHN10
jùquán
EX-UE5
dàgukong
EXHN11
hàiquán
EX-UE6
xiaogukong
EX-UE7
yaotòngdian
EXHN12
jinjin
EX-UE8
wàiláogong
EXHN13
yùyè
EX-UE9
baxié
EXHN14
yìmíng
EXUE10
sìfèng
EXHN15
jingbailáo
EXUE11
shíxuan
EX-CA1
zhigong
EX-LE1
kuangu
EX-B1
dìngchuan
EX-LE2
hèding
EX-LE3
xinèi
76 | P a g e
Chinese
EX-LE4
nèixiyan
EX-LE5
xiyan
EX-LE6
dannáng
EX-LE7
lánwei
EX-LE8
nèihuáijian
EX-LE9
wàihuáijian
EXLE10
bafeng
EXLE11
dúyin
EXLE12
qìduan
MS 8
Dingpangxian I
頂旁 1 線/顶旁 1 线
MS 9
Dingpangxian II
頂旁 2 線/丁旁线
MS 10 Nieqianxian
顳前線/ 颞前线
MS 11 Niehouxian
顳後線/颞后线
MS 12 Zhenshang
Zhengzhongxian
枕上正中線/枕上正
中线
MS 13 Zhenshang
Pangxian
枕上旁線/枕上旁线
MS 14 Zhenxia
Pangxian
枕下旁線/枕下旁线
Standard Nomenclature of
Scalp Acupuncture
MS 1 Ezhongxian
額中線/额中线
MS 2 Epangxian I
額旁 1 線/额旁 1 线
MS 3 Epangxian II
額旁2 線/额旁 2 线
MS 4 Epangxian
III
額旁3 線/额旁 3 线
MS 5
Dingzhongxian
頂中線/顶中线
MS 6 Dingnie
Qianxiexian
頂顳前斜線/顶颞前
斜线
MS 7 Dingnie
Houxiexian
頂顳後斜線/顶颞后
斜线
77 | P a g e
Middle Line of
Forehead
Lateral Line 1
of Forehead
Lateral Line 2
of Forehead
Lateral Line 3
of Forehead
Middle Line of
Vertex
Anterior
Oblique Line of
VertexTemporal
Posterior
Oblique Line of
VertexTemporal
Lateral Line 1
of Vertex
Lateral Line 2
of Vertex
Anterior
Temporal Line
Posterior
Temporal Line
Upper-Middle
Line of Occiput
Upper-Lateral
Line of Occiput
Lower-Lateral
Line of Occiput
Index of TCM Illnesses
Internal Medicine (Nei Ke)
abdominal mass (ji ju)
1
abdominal pain (fu tong)
2
atrophy-flaccidity (wei zheng)
3
bleeding disorders (xue
4
zheng)
chest impediment (xiong bi)
5
common cold (gan mao)
6
constipation (bian bi)
7
consumptive disease (xu lao)
8
consumptive thirst (xiao ke)
9
convulsive syndromes (jing
10
zheng)
cough (ke shou)
11
depression (yu zheng)
12
diarrhea (xie xie)
13
drum distension (gu zhang)
14
dysentery (li ji)
15
16
dysphagia occlusion
syndrome (ye ge)
dyspnea (chuan zheng)
17
edema (shui zhong)
18
epigastric pain (wei tong)
19
epilepsy (xian zheng)
20
fainting (jue zheng)
21
goitre (ying bing)
22
headache (tou tong)
23
hiccoughing and belching (e
24
ni)
hypochondrial pain (xie tong)
25
impediment syndrome (bi
26
zheng)
impotence (yang wei)
27
insomnia (bu mei)
28
internal damage fever (nei
29
shang fa re)
ischuria (long bi)
30
jaundice (huang dan)
31
lumbago (yao tong)
32
lung distention (fei zhang)
33
malaria (nue ji)
34
mania (dian kuang)
35
78 | P a g e
palpitation (xin ji)
pulmonary abscess (fei yong)
pulmonary tuberculosis (fei
lao)
seminal emission (yi jing)
39
40
spontaneous sweats, night
sweats (zi han, dao han)
stranguria (lin zheng)
41
tinnitus and deafness (er
42
ming er long)
vertigo (xuan yun)
43
vomiting (ou tu)
44
watery phlegm/sputum (tan
45
yin)
wheezing syndrome (xiao
46
zheng)
wind stroke (zhong feng)
47
External Medicine (Wai Ke)
acne (fen ci)
48
acute mastitis (ru yong)
49
alopecia areata (you feng)
50
anal fissure (gang lie)
51
bedsore (ru chuang)
52
boil (ding chuang)
53
breast cancer (ru yan)
54
breast lump (ru pi)
55
carbuncle (yong)
56
contact dermatitis (jie chu
57
xing pi yan)
digital gangrene (tuo ju)
58
drug rash (yao wu xing pi
59
yan)
eczema (shi chuang)
60
erysipelas (dan du)
61
furuncle (jie)
62
goitre (ying)
63
hemorrhoid (zhi)
64
herpes zoster (she chuan
65
chuang)
phlegmon (fa)
66
prostatic hyperplasia (qian lie
67
xian zeng sheng zheng)
prostatitis (qian lie xian yan)
68
scrofula (luo li)
69
sebaceous cyst (zhi liu)
70
36
37
38
shank ulcer (lian chuang)
71
tinea (xian)
72
urticaria (yin zhen)
73
varicose veins (jin liu)
74
warts (you)
75
Obstetrics and Gynecology (Fu Ke)
abdominal masses (zheng
76
jia)
amenorrhea (bi jing)
77
78
bleeding during pregnancy,
unstable pregnancy (tai lou,
tai dong bu an)
dysmenorrhea (tong jing)
79
infertility (bu yun)
80
insufficient breastmilk (que
81
ru)
intermenstrual bleeding (jing
82
jian qi chu xue)
irregular menstruation (yue
83
jing bu tiao)
leukorrhagia (dai xia)
84
lochiorrhea (chan hou e lu bu
85
jue)
menstrual breast aching (jing
86
xing ru fang zhang tong)
menstrual edema (jing xing fu
87
zhong)
menstrual headache (jing
88
xing tou tong)
89
menstrual hematemesis and
epistaxis (jing xing tu niu)
90
menstrual mental disorder
(jing xing qing zhi yi chang)
menstrual oral ulcer (jing xing
91
kou mei)
92
metrorrhagia and metrostaxis
(beng lou)
miscarriage (zhui tai, xiao
93
chan, hua tai)
morning sickness (ren chen e
94
zu)
95
perimenopausal syndrome
79 | P a g e
(jue jing qian hou zhu zheng)
96
postpartum abdominal pain
(chan hou fu tong)
postpartum convulsion (chan
97
hou jing zheng)
postpartum dizziness (chan
98
hou xue yun)
postpartum fever (chan hou
99
fa re)
100
postpartum retention of urine
(chan hou pai niao yi chang)
uterine prolapse (yin ting)
101
Pediatrics (Er Ke)
anorexia (yan shi)
102
asthma (xiao chuan)
103
104
intestinal parasitic worms
(chang dao chong zheng)
chickenpox (shui dou)
105
common cold (gan mao)
106
convulsions (jing feng)
107
cough (ke shou)
108
diarrhea (xie xie)
109
enuresis (yi niao)
110
epilepsy (xian zheng)
111
erysipelas (chi you dan)
112
fetal jaundice (tai huang)
113
food retention (ji zhi)
114
malnutrition (gan zheng)
115
measles (ma zhen)
116
mumps (zha sai)
117
pneumonia (fei yan ke sou)
118
purpura (zi dian)
119
retardation and flaccidity (wu
120
chi wu ruan)
rubella (feng sha)
121
scarlatina (dan sha)
122
sweating (han zheng)
123
thrush (e kou chuang)
124
whooping cough (dun ke)
125
infantile edema (xiao er shui
126
zhong)
Orthopedics and Traumatology (Gu
Shang Ke)
127
Achilles tendon injury (gen
jian sun shang)
128
acute lumbar muscle sprain
(yao bu niu cuo shang)
129
bone fracture (gu zhe)
130
calcaneodynia (gen tong
zheng)
carpal tunnel syndrome (wan
131
guan zong he zheng)
132
cervical spondylosis (jing
zhui bing)
133
frozen shoulder (jian guan jie
zhou wei yan)
134
ganglionic cyst (jian qiao
nang zhong)
135
joint dislocation (tuo wei)
80 | P a g e
136
137
138
139
140
141
142
143
knee joint collateral ligament
injury (xi guan jie ce fu ren
dai sun shang)
lumbar muscle strain (yao bu
lao sun)
meniscal injury (ban yue ban
sun shang)
prolapse of lumbar
intervertebral disc (yao zhui
jian pan tu chu zheng)
pyriformis syndrome (li
zhuang ji zong he zhang)
sprained ankle (huai guan jie
niu cuo shang)
strained neck (luo zhen)
tennis elbow (hong gu wai
shang ke yan)
Index of Materia Medica
Ai Ye
Ba Ji Tian
Bai Bian Dou
Bai Bu
Bai Dou Kou
Bai Fu Zi
Bai Guo
Bai He
Bai Hua She She Cao
Bai Ji
Bai Ji Li/Ci Ji Li
Bai Jiang Cao
Bai Jie Zi
Bai Mao Gen
Bai Qian
Bai Shao
Bai Tou Weng
Bai Wei
Bai Xian Pi
Bai Zhi
Bai Zhu
Ban Lan Gen
Ban Mao
Ban Xia
Bei Xie
Bian Xu
Bie Jia
Bin Lang
Bing Pian
Bo He
Bai Zi Ren
Bu Gu Zhi
Can Sha
Cang Er Zi
Cang Zhu
Cao Dou Kou
Cao Guo
Ce Bo Ye
81 | P a g e
艾葉
巴戟天
白扁豆
百部
白豆蔻
白附子
白果
百合
白花蛇舌草
白芨
白蒺藜/刺蒺藜
敗醬草
白芥子
白茅根
白前
白芍
白頭翁
白薇
白蘚皮
白芷
白朮
板藍根
班蟊
半夏
萆薢
萹蓄
鱉甲
檳榔
冰片
薄荷
柏子仁
補骨脂
蠶砂
蒼耳子
蒼朮
草豆蔻
草果
側柏葉
Folium Artemisiae Argyi
Radix Morindae Officinalis
Semen Dolichoris Album
Radix Stemonae
Fructus Amomi Rotundus
Rhizoma Typhonii
Semen Ginkgo
Bulbus Lilli
Herba Hedyotis Diffusae
Rhizoma Bletillae
Fructus Tribuli
Herba Patriniae
Semen Sinapis Albae
Rhizoma Imperatae
Rhizoma Cynanchi Stauntonii
Radix Paeoniae Alba
Radix Pulsatillae
Radix Cynanchi Atrati
Cortex Dictamni Radicis
Radix Angelicae Dahuricae
Rhizoma Atractylodis Macrocephalae
Radix Isatidis
Mylabris
Rhizoma Pinelliae
Rhizoma Dioscoreae Hypoglaucae
Herba Polygoni Avicularis
Carapax Trionycis
Semen Arecae
Borneolum Syntheticum
Herba Menthae
Semen Biotae
Fructus Psoraleae
Faeces Bombycis
Fructus Xanthii
Rhizoma Atractylodis
Semen Alpiniae Katsumadai
Fructus Tsaoko
Cacumen Biotae
Chai Hu
Chan Tui
Che Qian Zi
Chen Xiang
Chi Shao Yao
Chi Shi Zhi
Chi Xiao Dou
Chuan Bei Mu
Chuan Lian Zi
Chuan Xiong
Ci Shi
Da Fu Pi
Da Huang
Da Ji
Da Ji
Da Qing Ye
Da Zao
Dai Zhe Shi
Dan Dou Shi/Chi
Dan Shen
Dan Zhu Ye
Dang Gui
Dang Shen
Di Fu Zi
Di Gu Pi
Di Long
Di Yu
Ding Xiang
Dong Chong Xia Cao
Dong Gua Pi
Du Huo
Du Zhong
E Jiao
E Zhu
Fan Xie Ye
Fang Feng
Fen Fang Ji
Feng Mi
Fo Shou
Fu Ling
Fu Pen Zi
82 | P a g e
柴胡
蟬蛻
車前子
沈香
赤芍藥
赤石脂
赤小豆
川貝母
川楝子
川芎
磁石
大腹皮
大黃
大戟
大薊
大青葉
大棗
代赭石
淡豆豉
丹參
淡竹葉
當歸
黨參
地膚子
地骨皮
地龍
地榆
丁香
冬蟲夏草
冬瓜皮
獨活
杜仲
阿膠
莪朮
番瀉葉
防風
粉防己
蜂蜜
佛手
茯苓
覆盆子
Radix Bupleuri
Periostracum Cicadae
Semen Plantaginis
Lignum Aquilariae Resinatum
Radix Paeoniae Rubra
Halloysitum Rubrum
Semen Phaseoli
Bulbus Fritillariae Cirrhosae
Fructus Meliae Toosendan
Rhizoma Ligustici Chuanxiong
Magnetitum
Pericarpium Arecae
Radix et Rhizoma Rhei
Radix Euphorbiae Pekinensis
Radix Cirsii Japonici
Folium Isatidis
Fructus Ziziphi Jujibae
Haematitum
Semen Sojae Praeparatum
Radix Salviae Miltiorrhizae
Herba Lophatheri
Radix Angelicae Sinensis
Radix Condonopsis Pilosulae
Fructus Kochiae
Cortex Lycii Radicis
Lumbricus
Radix Sanguisorbae
Flos Caryophylli
Cordyceps
Exocarpium Benincasae
Radix Angelicae Pubescentis
Cortex Eucommiae
Colla Corii Asini
Rhizoma Zedoariae
Folium Sennae
Radix Ledebouriellae
Radix Stephaniae Tetrandrae
Mel
Fructus Citri Sarcodactylis
Poria
Fructus Rubi
Fu Xiao Mai
Fu Zi
Gan Cao
Gan Jiang
Gan Sui
Gao Ben
Gao Liang Jiang
Ge Gen
Ge Jie
Gou Ji
Gou Qi Zi
Gou Teng
Gu Sui Bu
Gua Lou
Guang Fang Ji
Gui Ban
Gui Zhi
Hai Er Cha
Hai Fu Shi
Hai Ge Ke
Hai Jin Sha
Hai Zao
Han Lian Cao
He Huan Pi
He Shou Wu
He Zi
Hei Zhi Ma
Hong Hua
Hong Teng
Hou Po
Hu Huang Lian
Hu Jiao
Hu Po
Hu Tao Rou
Hua Jiao
Hua Shi
Huai Hua
Huang Bo/Bai
Huang Jing
Huang Lian
Huang Qi
83 | P a g e
浮小麥
附子
甘草
乾薑
甘遂
藳本
高良薑
葛根
蛤蚧
狗脊
枸杞子
鉤藤
骨碎補
瓜蔞
廣防己
龜板
桂枝
孩兒茶
海浮石
海蛤殼
海金沙
海藻
旱蓮草
合歡皮
何首烏
訶子
黑芝麻
紅花
紅藤
厚朴
胡黃連
胡椒
琥珀
胡桃肉
花椒
滑石
槐花
黃柏
黃精
黃連
黃耆
Fructus Tritici Levis
Radix Aconiti Praeparata
Radix Glycyrrhizae
Rhizoma Zingiberis
Radix Euphorbiae Kansui
Rhizoma Ligustici
Rhizoma Alpiniae Officinarum
Radix Puerariae
Gecko
Rhizoma Cibotii
Fructus Lycii
Ramulus Uncariae cum Uncis
Rhizoma Drynariae
Fructus Trichosanthis
Radix Aristolochiae Fangchi
Plastrum Testudinis
Ramulus Cinnamomi
Catechu
Pumex
Concha Cyclinae
Spora Lygodii
Sargassum
Herba Ecliptae
Cortex Albizziae
Radix Polygoni Multiflori
Fructus Chebulae
Semen Sesami Nigrum
Flos Carthami
Caulis Sargentodoxae
Cortex Magnoliae Officinalis
Rhizoma Picrorhizae
Fructus Piperis Nigri
Succinum
Semen Juglandis
Pericarpium Zanthoxyli
Talcum
Flos Sophorae
Cortex Phellodendri
Rhizoma Polygonati
Rhizoma Coptidis
Radix Astragali seu Hedysari
Huang Qin
Huo Ma Ren
Huo Xiang
Ji Nei Jin
黃芩
火麻仁
藿香
雞內金
Ji Xue Teng
Jiang Can
Jiang Huang
Jiang Xiang
Jie Geng
Jin Qian Cao
Jin Yin Hua
Jin Ying Zi
Jing Jie
Ju Hua
Ju Pi/Chen Pi
Jue Ming Zi
Ku Lian Pi
Ku Shen
Kuan Dong Hua
Kun Bu
Lai Fu Zi
Li Zhi He
Lian Qiao
Lian Zi
Liu Huang
Liu Ji Nu
Long Dan Cao
Long Gu
Long Yan Rou
Lu Feng Fang
Lu Gan Shi
Lu Gen
Lu Hui
Lu Rong
Ma Dou Ling
Ma Huang
Ma Huang Gen
Ma Qian Zi
Mai Men Dong
Mai Ya
雞血藤
僵蠶
薑黃
降香
桔梗
金錢草
金銀花
金櫻子
荊芥
菊花
橘皮/陳皮
決明子
苦楝皮
苦參
款冬花
昆布
萊菔子
荔枝核
連翹
蓮子
硫黃
劉寄奴
龍膽草
龍骨
龍眼肉
露蜂房
爐甘石
蘆根
蘆薈
鹿茸
馬兜鈴
麻黃
麻黃根
馬錢子
麥門冬
麥芽
84 | P a g e
Radix Scutellariae
Fructus Cannabis
Herba Pogostemonis
Endothelium Corneum Gigeriae
Galli
Caulis Spatholobi
Bombyx Batryticatus
Rhizoma Curcumae Longae
Lignum Dalbergiae Odoriferae
Radix Platycodi
Herba Lysimachiae
Flos Lonicerae
Fructus Rosae Laevigatae
Herba Schizonepetae
Flos Chrysanthemi
Pericarpium Citri Reticulatae
Semen Cassiae
Cortex Meliae
Radix Sophorae Flavescentis
Flos Farfarae
Thallus Laminariae Eckloniae
Semen Raphani
Semen Litchi
Fructus Forsythiae
Semen Nelumbinis
Sulfur
Herba Artemisiae Anomalae
Radix Gentianae
Os Draconis
Arillus Longan
Nidus Vespae
Calamina
Rhizoma Phargmitis
Aloe
Cornu Cervi Pantotrichum
Fructus Aristolochiae
Herba Ephedrae
Radix Ephedrae
Semen Nux-Movicae
Radix Ophiopogonis
Fructus Hordei Germinatus
Man Jing Zi
Mang Chong
Mang Xiao
Ming Fan
Mo Yao
Mu Dan Pi
Mu Gua
Mu Li
Mu Tong
Mu Xiang
Nan Gua Zi
Niu Bang Zi
Niu Xi
Nu Zhen Zi
Ou Jie
Pei Lan
Pi Pa Ye
Pu Gong Ying
Pu Huang
Qian Cao
Qian Hu
Qian Shi
Qiang Huo
Qin Jiao
Qin Pi
Qing Dai
Qing Hao
Qing Pi
Qu Mai
Quan Xie
Ren Shen
Rou Cong Rong
Rou Dou Kou
Rou Gui
Ru Xiang
San Leng
San Qi
Sang Bai Pi
Sang Ji Sheng
Sang Piao Xiao
Sang Shen
85 | P a g e
蔓荊子
牤蟲
芒硝
明礬
沒藥
牡丹皮
木瓜
牡蠣
木通
木香
南瓜子
牛蒡子
牛膝
女貞子
藕節
佩蘭
枇杷葉
蒲公英
蒲黃
茜草
前胡
芡實
羌活
秦艽
秦皮
青黛
青蒿
青皮
瞿麥
全蠍
人參
肉蓯蓉
肉豆蔻
肉桂
乳香
三棱
三七
桑白皮
桑寄生
桑螵蛸
桑椹
Fructus Viticis
Tanabus
Natrii Sulfas
Alumen
Myrrha
Cortex Moutan Radicis
Fructus Chaenomelis
Concha Ostreae
Caulis Akebiae
Radix Aucklandiae
Semen Cucurbitae
Fructus Arctii
Radix Achyranthis Bidentatae
Fructus Ligustri Lucidi
Nodus Nelumbinis Rhizomatis
Herba Eupatorii
Folium Eruobotryae
Herba Taraxaci
Pollen Typhae
Radix Rubiae
Radix Peucedani
Semen Euryales
Rhizoma seu Radix Notopterygii
Radix Gentianae Macrophyllae
Cortex Fraxini
Indigo Naturalis
Herba Artemisiae Annuae
Pericarppium Citri Reticulatae Viride
Herba Dianthi
Scorpio
Radix Ginseng
Herba Cistanches
Semen Myristicae
Cortex Cinnamomi
Olibanum
Rhizoma Sparganii
Radix Notoginseng
Cortex Mori Radicis
Ramulus Taxilli
Ootheca Mantidis
Fructus Mori
Sang Ye
Sang Zhi
Sha Ren
Sha Shen
Sha Yuan Zi/Tong Ji Li
Shan Yao
Shan Zha
Shan Zhu Yu
She Chuang Zi
She Gan / Ye Gan
Shen Qu
Sheng Di Huang
Sheng Jiang
Sheng Ma
Shi Chang Pu
Shi Di
Shi Gao
Shi Hu
Shi Jue Ming
Shi Jun Zi
Shi Liu Pi
Shi Wei
Shu Di Huang
Shui Zhi
Si Gua Luo
Su Mu
Su Zi
Suan Zao Ren
Suo Yang
Tai Zi Shen
Tan Xiang
Tao Ren
Tian Hua Fen
Tian Ma
Tian Men Dong
Tian Nan Xing
Ting Li Zi
Tong Cao
Tu Si Zi
Wa Leng Zi
Wang Bu Liu Xing
86 | P a g e
桑葉
桑枝
砂仁
沙參
沙苑子/潼蒺藜
山藥
山楂
山茱萸
蛇床子
射干
神麴
生地黃
生薑
升麻
石菖蒲
柿蒂
石膏
石斛
石決明
使君子
石榴皮
石葦
熟地黃
水蛭
絲瓜絡
蘇木
蘇子
酸棗仁
鎖陽
太子參
檀香
桃仁
天花粉
天麻
天門冬
天南星
葶藶子
通草
菟蕬子
瓦楞子
王不留行
Folium Mori
Ramulus Mori
Fructus Amomi
Radix Glehniae
Semen Astragali Complanati
Rhizoma Dioscoreae
Fructus Crataegi
Fructus Corni
Fructus Cnidii
Rhizoma Belamcandae
Massa Medicara Fermentata
Radix Rehmanniae
Rhizoma Zingiberis Recens
Rhizoma Cimicifugae
Rhizoma Acori Graminei
Calyx Kaki
Gypsum Fibrosum
Herba Dendrobii
Concha Haliotidis
Fructus Quisqualis
Pericarpium Granati
Folium Pyrrosiae
Radix Rehmanniae Praeparata
Hirudo
Vascularis Luffae Fasciculus
Ligum Sappan
Fructus Perillae
Semen Ziziphi Spinosae
Herba Cynomorii
Radix Pseudostellariae
Lignum Santali Albi
Semen Persicae
Radix Trichosanthis
Rhizoma Gastrodiae
Radix Asparagi
Rhizoma Arisaematis
Semen Lepidii seu Descurainiae
Medulla Tetrapanacis
Semen Cuscutae
Concha Arcae
Semen Vaccariae
Wei Ling Xian
Wu Bei Zi
Wu Gong
Wu Jia Pi
Wu Ling Zhi
Wu Mei
Wu Wei Zi
Wu Yao
Wu Zei Gu/Hai Piao
Xiao
Wu Zhu Yu
Xi Xin
Xi Yang Shen
Xia Ku Cao
Xian He Cao
Xian Mao
Xiang Fu
Xiang Ru
Xiao Hui Xiang
Xiao Ji
Xie Bai
Xie/Xue Jie
Xin Yi
Xing Ren
Xiong Huang
Xu Duan
Xuan Fu Hua
Xuan Shen
Xie/Xue Yu Tan
Yan Hu Suo
Ye Jiao Teng
Yi Mu Cao
Yi Yi Ren
Yi Zhi Ren
Yin Chai Hu
Yin Chen Hao
Yin Yang Huo
Yu Jin
Yu Li Ren
Yu Mi Xu
Yu Xing Cao
87 | P a g e
威靈仙
五倍子
蜈蚣
五加皮
五靈脂
烏梅
五味子
烏藥
烏賊骨/海螵蛸
Radix Clematidis
Galla Chinensis
Scolopendra
Cortex Acanthopanacis Radicis
Faeces Trogopterori
Fructus Mume
Fructus Schisandrae
Radix Linderae
Os Sepiellae seu Sepiae
吳茱萸
細辛
西洋參
夏枯草
仙鶴草
仙茅
香附
香薷
小茴香
小薊
薤白
血竭
辛夷
杏仁
雄黃
續斷
旋覆花
玄參
血餘炭
延胡索
夜交藤
益母草
薏苡仁
益智仁
銀柴胡
茵陳蒿
淫羊藿
郁金
郁李仁
玉米鬚
魚腥草
Fructus Evodiae
Herba Asari
Radix Panacis Quinquefolii
Spica Prunellae
Herba Agrimoniae
Rhizoma Curculiginis
Rhizoma Cyperi
Herba Elsholtziae seu Moslae
Frictus Foeniculi
Herba Cephalanoploris
Bulbus Allii Macrostemi
Resina Draconis
Flos Magnoliae
Semen Armeniacae Amarum
Realgar
Radix Dipsaci
Flos Inulae
Radix Scrophulari
Crinis Carbonisatus
Rhizoma Corydalis
Caulis Polygoni Multiflori
Herba Leonuri
Semen Coicis
Fructus Alpiniae Oxyphyllae
Radix Stellariae
Herba Artemisiae Scopariae
Herba Epimedii
Radix Curcumae
Semen Pruni
Stigma Maydis
Herba Houttuyniae
Yu Zhu
Yuan Hua
Yuan Zhi
Zao Jiao Ci
Ze Lan
Ze Xie
Zhe Bei Mu
Zhe Chong
Zhen Zhu Mu
Zhi Ke
Zhi Mu
Zhi Shi
Zhi Zi
Zhu Ling
Zhu Ru
Zi Cao
Zi Hua Di Ding
Zi Su Ye
Zi Wan
Zong Lu Tan
88 | P a g e
玉竹
芫花
遠志
皂角刺
澤蘭
澤瀉
浙貝母
蟅蟲
珍珠母
枳殼
知母
枳實
梔子
猪苓
竹茹
紫草
紫花地丁
紫蘇葉
紫菀
棕櫚炭
Rhizoma Polygonati Odorati
Flos Genkwa
Radix Polygalae
Spina Gleditsiae
Herba Lycopi
Rhizoma Alismatis
Bulbus Fritillariae Thunbergii
Eupolyphaga seu Steleophaga
Concha Margartifera Usta
Fructus Aurantii
Rhizoma Anemarrhenae
Fructus Aurantii Immaturus
Fructus Gardeniae
Polyporus Umbellatus
Caulis Bambusae in Taeniam
Radix Arnebiae seu Lithospermi
Herba Violae
Folium Perillae
Radix Asteris
Traachycarpi Carbonisatus
TCM Formula Reference
Formulas for relieving
superficial syndrome (Jie Biao
Ji 解表劑) (8)
Formula for relieving superficial
syndrome with pungent and warm
辛溫解表 (4)
 Ma Huang Tang Ephedra
Decoction 麻黃湯
o Exterior Cold
excess(Cold attack)
 Ma Huang
 Gui Zhi
 Xing Ren
 Zh i Gan Cao

Gui Zhi Tang Cinnamon Twig
Decoction 桂枝湯
o Exterior Cold from
deficiency (Wind attack)
 Gui Zhi
 Bai Shao
 Sheng Jiang
 Da Zao
 Zhi Gan Cao

Xiao Qing Long Tang Minor
Blue-green Dragon Decoction
小青龍湯
o Exterior Wind-Cold with
congested fluids
 Ma Huang
 Gui Zhi
 Gan Jiang
 Xi Xin
 Wu Wei Zi
 Bai Shao
 Ban Xia
 Zhi Gan Cao
89 | P a g e

Jiu Wei Qiang Huo Tang Nineherb Decoction with
Notopterygium
o Exterior Wind-ColdDamp with internal Heat
 Qiang Huo
 Fang Feng
 Cang Zhu
 Xi Xin
 Chuan Xiong
 Bai Zhi
 Huang Qin
 Sheng Di Huang
 Gan Cao
Relieving superficial syndrome
with pungent and cool 辛涼解表
(3)
 Yin Qiao San Honeysuckle and
Forsythia powder 銀翹散
o Protective level warmfebrile disease
 Jin Yin Hua
 Lian Qiao
 Jie Geng
 Niu Bang Zi
 Bo He
 Dan Dou Chi
 Jing Jie
 Dan Zhu Ye
 Xian Lu Gen
 Gan Cao

Sang Ju Yin Mulberry Leaf and
Chrysanthemum Decoction 桑
菊飲
o Early stage of a warmfebrile disease
 Sang Ye
 Ju Hua
 Lian Qiao
 Bo He
 Jie Geng




Ma Xing Shi Gan Tang
Ephedra, Apricot Kernel,
Gypsum and Licorice
Decoction 麻杏石甘湯
o Heat lodged in LU
 Ma Huang
 Shi Gao
 Xing Ren
 Zhi Gan Cao
Relieving superficial syndrome with
tonics 扶正解表 (1)
 Bai Du San Toxin-Vanquishing
Powder) 敗毒散
o releases exterior, expels
Wind & Damp, tonifies
Qi
 Qiang Huo (Radix
and Rhizoma
Notopterygii)…30
g
 Du Huo (Radix
Angelicae
Pubescentis)…30
g
 Chuan Xiong
(Radix Ligustici
Chuanxiong)…30
g
 Chai Hu (Radix
Bupleuri)…30g
 Jie Geng (Radix
Platycodi
Grandiflori)…30g
 Zhi Ke (Fructus
Citri seu
Ponciri)…30g
 Qian Hu (Radix
Peucendani)…30
g
 Ren Shen (Radix
Ginseng)…30g
90 | P a g e

Xing Ren
Lu Gen
Gan Cao

Fu Ling
(Sclerotium
Poriae
Cocos)…30g
Gan Cao (Radix
Glycyrrizae
Uralensis)…15g
Formulas for purgation (Xie
Xia Ji 瀉下劑) (7)
Purging with cold energy herbs 寒
下 (3)
 Da Cheng Qi Tang Major Order
the Qi Decoction 大承氣湯
o Severe Yang Ming Fu
 Da Huang
 Mang Xiao
 Zhi Shi
 Hou Po

Xiao Cheng Qi Tang Minor
Order the Qi Decoction 小承氣
湯
o Mild Yang Ming fu
 Da Huang
 Hou Po
 Zhi Shi

Tiao Wei Cheng Qi Tang
Regulate the Stomach and
Order the Qi Decoction 調胃承
氣湯
o ST and Intestine
dry heat pattern of Yang
Ming organ syndrome
 Da Huang
 Mang Xiao
 Gan Cao
Purging with warm energy herbs 溫
下 (2)
 Wen Pi Tang Warm the Spleen
Decoction 溫脾湯

o Warms and Tonifies
Spleen Yang, Purges
Cold Accumulation
 Da Huang
 Ren Shen
 Gan Jiang
 Gan Cao
 Zhi Fu Zi
Da Huang Fu Zi Tang Rhubarb
and Prepared Aconite
Decoction 大黃附子湯
o Warms the Interior,
Disperses Cold,
Unblocks the bowels,
Alleviates pain
 Da Huang
 Zhi Fu Zi
 Xi Xin
Purging with moistening/
lubricating herbs 潤下 (2)
 Ma Zi Ren Wan Hemp Seed
Pill 麻子仁丸
o ST Heat binding SP
 Huo Ma Ren
 Xing Ren
 Bai Shao
 Zhi Shi
 Hou Po
 Da Huang
 Feng Mi

Ji Chuan Jian Benefit the River
(Flow) Decoction 濟川煎
o KD Yang Deficient
Constipation
 Rou Cong Rong
 Dang Gui
 Niu Xi
 Ze Xie
 Zhi Ke
 Sheng Ma
Formulas for harmonizing (He
Jie Ji 和解劑) (6)
91 | P a g e
Harmonizing Shao yang 和解少陽
(2)
 Xiao Chai Hu Tang Minor
Bupleurum Decoction 小柴胡湯
o Xiao Yang Syndrome
 Chai Hu
 Huang Qin
 Ban Xia
 Sheng Jiang
 Ren Shen
 Zhi Gan Cao
 Da Zao

Hao Qin Qing Dan Tang
Artemisia Annua and
Scutellaria Decoction to Clear
o Damp-Heat and turbid
Phlegm in Shao Yang
channels
 Qing Hao
 Huang Qin
 Zhu Ru
 Zhi Ke
 Chen Pi
 Ban Xia
 Chi Fu Ling
 Hua Shi
 Gan Cao
 Qing Dai
Harmonizing Liver and Spleen 和解
肝脾 (3)
 Si Ni San Minor Bupleurum
Decoction 四逆散
o Rebellious LV Qi
disturbing ST and
Constrained LV qi with
cold extremities
 Chai Hu
 Zhi Shi
 Bai Shao
 Zhi Gan Cao
 Chai Hu
 Dang Gui
 Bai Shao







Bai Zhu
Fu Ling
Zhi Gan Cao
Wei Jiang
Bo He
Xiao Yao san Rambling powder
逍遙散
o LV overacting on SP
with mild blood
deficiency
 Chai Hu
 Dang Gui
 Bai Shao
 Bai Zhu
 Fu Ling
 Zhi Gan Cao
 Wei Jiang
 Bo He
Tong Xie Yao Fang Important
Formula for Painful Diarrhea 痛
瀉要方
o SP deficiency with an
over-controlling LV and
painful diarrhea
 Chao Bai Zhu
 Chao Bai Shao
 Chen Pi
 Fang Feng
Harmonizing Stomach and Spleen
和解脾胃 (1)
 Ban Xia Xie Xin Tang Pinellia
Decoction to Drain the
Epigastrium 半夏瀉心湯
o Heat and Cold
disharmony in MJ, Form
of internal clumping (SP
and ST disharmony)
 Ban Xia
 Gan Jiang
 Huang Qin
 Huang Lian
 Ren Shen
 Da Zao
92 | P a g e

Zhi Gan Cao
Formulas for clearing heat
(Qing Re Ji 清熱劑) (25)
4-1 Clear the heat in Qi portion/level
清氣分熱 (2)
 Bai Hu Tang White Tiger
Decoction 白虎湯
o Yang Ming Jing/Qi Level
Heat
 Shi Gao
 Zhi Mu
 Zhi Gan Cao
 Geng Mi

Zhu Ye Shi Gao Tang
Lophatherus and Gypsum
Decoction 竹葉石膏湯
o Qi-level Heat lingering in
LU and ST (more
damage to yin)
 Dan Zhu Ye
 Shi Gao
 Ren Shen
 Mai Men Dong
 Ban Xia
 Zhi Gan Cao
 Geng Mi
4-2 Clear heat in the ying & blood
portion/level 清血分熱 (2)
 Qing Ying Tang Clear the
Nutritive Level Decoction 清營
湯
o Clear heat from blood
level
 Xi Jiao
 Xuan Shen
 Sheng Di Huang
 Mai Men Dong
 Jin Yin Hua
 Lian Qiao
 Huang Lian
 Dan Zhu Ye


Xi Jiao Di Huang Tang
Rhinoceros Horn and
Rehmannia Decoction 犀角地
黃湯
o Clear heat from the
blood level
 Xi Jiao
 Sheng Di Huang
 Chi Shao
 Mu Dan Pi
4-3 Clear the heat and detoxify 清熱
解毒 (3)
 Liang Ge San Cool the
Diaphragm Powder 涼膈散
 Huang Lian Jie Du Tang Coptis
Decoction to Relieve Toxicity
黃連解毒湯
o Toxic-Heat obstructing
all three burners
 Huang Lian
 Huang Qin
 Huang Bai
 Zhi Zi

Pu Ji Xiao Du Yin Benefit
Decoction to Eliminate Toxin 普
濟消毒飲
o Epidemic toxin with
Wind-Heat and DampPhlegm
 Chao Huang Qin
 Chao Huang Lian
 Niu Bang Zi
 Lian Qiao
 Bo He
 Jiang Can
 Xuan Shen
 Ma Bo
 Ban Lan Gen
 Jie Geng
 Gan Cao
 Chen Pi
93 | P a g e


Dan Shen
Chai Hu
Sheng Ma
4-4 Clear heat in both the Qi and
blood 氣血兩清 (1)
 Qing Wen Bai Du San 清瘟敗毒
散
o Severe Fire in the Qi
and Blood levels
 Shi Gao
 Zhi Mu
 Gan Cao
 Dan Zhu Ye
 Xi Jiao
 Sheng Di Huang
 Mu Dan Pi
 Chi Shao
 Xuan Shen
 Huang Lian
 Huang Qin
 Zhi Zi
 Lian Qiao
 Jie Geng
4-5 Clear heat in the Zang-fu (organ
network) 清臟腑熱 (9) 清瘟敗毒散
 Long Dan Xie Gan Tang
Gentiana Long Gan Cao
Decoction to Drain the Liver 龍
膽瀉肝湯
o Excess heat in the LV
and GB channels
 Long Dan Cao
 Huang Qin
 Zhi Zi
 Chai Hu
 Mu Tong
 Che Qian Zi
 Ze Xie
 Sheng Di Huang
 Dang Gui
 Gan Cao

Zuo Jin Wan Left Metal pill 左金
丸
o LV and ST disharmony
from Heat in LV
 Huang Lian
 Wu Zhu Yu





Yu Nu Jian Jade Woman
Decoction 玉女煎
o ST Heat with Yin
deficiency
 Shi Gao
 Shu Di Huang
 Zhi Mu
 Mai Men Dong
 Niu Xi
Ting Li Da Zao Xie Fei Tang
Descurainia and Jujube
Decoction 葶藶大棗瀉肺湯
Shao Yao Tang Peony
Decoction 芍藥湯
o Damp-Heat lodging in
the Intestines (lower
burner)/early stage
 Bai Shao
 Dang Gui
 Gan Cao
 Mu Xiang
 Bing Lang
 Huang Lian
 Huang Qin
 Da Huang
 Rou Gui
Dao Chi San Guide Out the
Red powder 導赤散
o Heat in HT and SI
 Sheng Di Huang
 Mu Tong
 Dan Zhu Ye
 Gan Cao Shao
Xie Bai San Drain the White
powder 瀉白散
94 | P a g e
o Smoldering Fire due to
constrained heat in LU
 Chao Sang Bai Pi
 Di Gu Pi
 Zhi Gan Cao
 Geng Mi

Qing Wei San Clear the
Stomach powder 清胃散
o Heat accumulation in ST
 Huang Lian
 Sheng M a
 Mu Dan Pi
 Sheng Di Huang
 Dan Gui

Bai Tou Weng Tang Pulsatilla
Decoction 白頭翁湯
o Dysenteric disorder from
searing ST and
Intestines
 Bai Tou Weng
 Huang Lian
 Huang Bai
 Qin Pi
4-6 Clear the deficient heat 清虛
 Qing Hao Bie Jia Tang
Artemisia Annua and SoftShelled Turtle Shell Decoction
青蒿鱉甲湯
o Heat smoldering in the
yin regions of the body
 Bie Jia
 Qing Hao
 Sheng Di Huang
 Zhi Mu
 Mu Dan Pi

Qin Jiao Bie Jia San Gentiana
Qin Jiao and Soft-Shelled
Turtle Shell Powder 秦艽鱉甲
散
o Nourishes Yin, Clears
Heat, Stabilizes the
Exterior, Stops sweating
 Dang Gui (radix
angelicae
sinensis)…15g
 Sheng Di Huang
(radix rehmanniae
glutinosae)…15g
 Shu Di Huang
(radix rehmanniae
glutinosae
conquitae)…15g
 Huang Lian
(rhizoma
coptidis)…15g
 Huang Qin (radix
scutellariae)…15g
 Huang Bai (cortex
phellodendri)…15
g
 Huang Qi (radix
astragali
membranacei)…3
0g
o enriches Yin, nourishes
blood, clears Heat,
relieve steaming bone
 Chai Hu (radix
bupleuri)…30g
 Zhi Bie Jia (honey
fried carapax
amydae
sinensis)…30g
 Di Gu Pi (cortex
lycii radicis)…30g
 Qin Jiao (radix
gentianae qin
jiao)…15g
 Dang Gui (radix
angelicae
sinensis)…15g
 Zhi Mu (radix
anemarrhenae
asphodeloidis)…1
5g
 *taken in powder
form as a draft
with a small
handful of Qing
Hao and one
piece of Wu Mei.


Qing Gu San Cool the Bones
Powder 清骨散
o LV and KD Yin
deficiency leading to
steaming bone disorder
 Yin Chai Hu
 Zhi Mu
 Hu Huang Lian
 Di Gu Pi
 Qing Hao
 Qin Jiao
 Zhi Bie Jia
 Gan Cao
Dang Gui Liu Huang Tang
Tangkuei and Six-yellow
Decoction 當歸六黃湯
95 | P a g e
4-7 Clear the summer-heat 清暑熱
 Liu Yi San Six to One Powder
六一散
o Summer-Heat with
interior Damp
 Hua Shi
 Gan Cao

Qing Shu Yi Qi Tang Clear
Summer-heat and Augment the
Qi Decoction 清暑益氣湯
o Summer-Heat injuring
the Qi and fluids
 Xi Yang Shen
 Xi Gua Pi
 Shi Hu
 Mai Men Dong
 Lian Geng
 Dan Zhu Ye






Zhi Mu
Huang Lian
Gan Cao
Geng Mi
Xin Jia Xiang Ru Yin Newly
Augment Mosla Drink 新加香薷
飲
o Releases Exterior
Summer Heat, Releases
External Cold, Clears
Heat, Resolves
Dampness
 Xiang Ru (herba
elsholtiziae seu
moslae)…6g
 Bai Bian Dou
(semen dolichoris
lablab)…9g
 Hou Po (cortex
magnoliae
officinalis)…6g
 Jin Yin Hua (flos
lonicerae
japonicae)…9g
 Lian Qiao (fructus
forsythiae
suspensae)…6g
Qing Luo Yin Clear the
Collaterals Decoction 清絡飲
o Mild Summer-Heat
injuring the Qi level of
LU channel
 Xian Jin Yin Hua
 Xian Bian Dou
 Hua
 Xi Gua Shuang
 Si Gua Pi
 Xian He Ye
 Xian Dan Zhu Ye
Formulas for warming interior
溫裏劑 (8)
96 | P a g e
5-1 Warm up interior and expel cold
溫中袪寒 (4)
 Li Zhong Wan Regulate the
Middle Pill 理中丸
o Middle burner Cold from
deficiency
 Gan Jiang
 Ren Shen
 Bai Zhu
 Zh i Gan Cao
 Xiao Jian Zhong Tang Minor
Construct the Middle Decoction
小建中湯
o Consumptive deficiency
 Vi Tang
 Gui Zhi
 Bai Shao
 Zhi Gan Cao
 Sheng Jiang
 Da Zao
 Wu Zhu Yu Tang Evodia
Decoction 吳茱萸湯
o Middle burner Cold from
deficiency with LV
involvement
 Wu Zhu Yu
 Sheng Jiang
 Ren Shen
 Da Zao
 Da Jian Zhong Tang Major
Construct the Middle Decoction
o Cold from deficiency
with internal Cold
accumulation
 Chuan Jiao
 Gan Jiang
 Ren Shen
 Yi Tang
5-2 Restore yang and save critical
(reverse counterflow) 回陽救逆 (2)
 Si Ni Tang Frigid Extremities
Decoction 四逆湯
o KD Yang deficiency with
internal cold
 Sheng Fu Zi

 Gan Jiang
 Zhi Gan Cao
Hui Yang Jiu Ji Tang Restore
and Revive the Yang Decoction
from Revised Popular Guide 回
陽救急湯
o
5-3 Warm up channels and disperse
cold 溫經散寒 (2)
 Dang Gui Si Ni Tang Tangkuei
Decoction for Frigid Extremities
當歸四逆湯
o Blood deficiency with
Cold in the channels
 Dan Gui
 Bai Shao
 Gui Zhi
 Xi Xin
 Zh i Gan Cao
 Da Zao
 Mu Tong
 Huang Qi Gui Zhi Wu Wu Tang
Astragalus and Cinnamon Twig
Five-Substance Decoction 黃耆
桂枝五物湯
o Tonifies Qi and Blood,
Warms and harmonizes
the channels and
collaterals, Harmonizes
the Ying and Wei,
Unblocks painful
obstruction, Warms the
Middle Jiao, Dispels
Cold, Alleviates pain,
Harmonizes Yin and
Yang
 Huang Qi (radix
astragali
membranacei)…1
2g
 Bai Shao Yao
(radix
paeoniae)…9g
97 | P a g e



Gui Zhi (ramulus
cinnamomi
cassiae)…9g
Sheng Jiang
(rhizoma
zingiberis
officinalis
recens)…12g
Da Zao (fructus
jujubae)…12
pieces
Formulas for relieving interiorexterior 表裏雙解劑 (4)

Da Chai Hu Tang Major
Bupleurum Decoction 大柴胡湯
o Concurrent Shao Yang
and Yang Ming Fu
disorders
 Chai Hu
 Huang Qin
 Zhi Shi
 Da Huang
 Bai Shao
 Ban Xia
 Sheng Jiang
 Da Zao

Fang Feng Tong Sheng San
Ledebouriella Powder that
Sagely Unblocks 防風通聖散
o Heat excess in both the
exterior and interior
 Fang Feng
 Ma Huang
 Jiu Da Huang
 Mang Xiao
 Jing Jie
 Bo He
 Zhi Zi
 Hua Shi
 Shi Gao
 Lian Qiao
 Huang Qin
 Jie Geng
 Chuan Xiong





Dang Gui
Bai Shao
Bai Zhu
Gan Cao
Sheng Jiang

Ge Gen Huang Qin Huang Lian
Tang Kudzu, Scutellaria and
Coptis Decoction 防風通聖散
o Incompletely resolved
exterior with interior
excess Heat
 Ge Gen
 Huang Lian
 Huang Qin
 Zhi Gan Cao

Wu Ji San Five Accumulation
Powder 五積散
o Cold excess in both the
exterior and interior
 Ma Huang
 Bai Zhi
 Gan Jiang
 Rou Gui
 Cang Zhu
 Hou Po
 Chen Pi
 Ban Xia
 Fu Ling
 Jie Geng
 Zhi Ke
 Dang Gui
 Bai Shao
 Chuan Xiong
 Zhi Gan Cao
Formulas for tonifying 補益劑
(18)
7-1 Qi tonic 補氣 (4)
 Si Jun Zi Tang Four Gentleman
Decoction 四君子湯
o SP Qi Def
 Ren Shen
98 | P a g e



Bai Zhu
Fu Ling
Zhi Gan Cao

Shen Ling Bai Zhu San
Ginseng, Poria, and
Atractylodes Macrocephala
Powder 參苓白朮散
o SP Qi deficiency with
internally-generated
Damp
 Ren Shen
 Bai Zhu
 Fu Ling
 Zhi Gan Cao
 Shan Yao
 Yi Yi Ren
 Bai Bian Dou
 Lian Zi
 Sha Ren
 Jie Geng

Bu Zhong Yi Qi Tang Tonify the
Middle and Augment the Qi
Decoction 補中益氣湯
o Sinking of Yang due to
SP and ST deficiency
 Huang Qi
 Ren Shen
 Bai Zhu
 Zhi Gan Cao
 Dang Gui
 Chen Pi
 Sheng Ma
 Chai Hu

Sheng Mai San Generate the
Pulse powder 生脈散
o Simultaneous LU Qi and
Yin deficiency
 Ren Shen
 Mai Men Dong
 Wu W ei Zi
7-2 Blood tonic 補血 (4)

Si Wu Tang Four-Substance
Decoction 四物湯
o Tonify Blood (of LV)
 Shu Di Huang
 Bai Shao
 Dang Gui
 Chuan Xiong

Dang Gui Bu Xue Tang
Tangkuei Decoction to Tonify
the Blood 當歸補血湯
o LV Blood deficiency with
stasis and SP deficiency
 Dang Gui
 Bai Shao
 Chuan Xiong
 Fu Ling
 Bai Zhu
 Ze Xie

Gui Pi Tang Restore the
Spleen Decoction 歸脾湯
o SP Qi and HT Blood
deficiency
 Ren Shen
 Huang Qi
 Bai Zhu
 Zhi Gan Cao
 Dang Gui
 Long Yan Rou
 Suan Zao Ren
 Zhi Yuan Zhi
 Fu Ling
 Mu Xiang
 Sheng Jiang
 Da Zao

Zhi Gan Cao Tang Honey-Fried
Licorice Decoction 炙甘草湯
o Consumptive disorders
with Qi and blood
deficiency
 Zhi Gan Cao
 Ren Shen
 Da Zao
 Gui Zhi
99 | P a g e





Sheng Jiang
Sheng Di Huang
E Jiao
Mai Men Dong
Huo Ma Ren
7-3 Both Qi and blood tonic 氣血雙
補 (3)
 Ba Zhen Tang Eight Treasure
Decoction 八珍湯
o Qi and blood deficiency
 Ren Shen
 Bai Zhu
 Fu Ling
 Zhi Gan Cao
 Shu Di Huang
 Bai Shao
 Dang Gui
 Chuan Xiong
 Sheng Jiang
 Da Zao

Shi Quan Da Bu Tang AllInclusive Great Tonifying
Decoction 十全大補湯
o Qi and Blood deficiency
with mild cold
 Ren Shen
 Bai Zhu
 Fu Ling
 Zhi Gan Cao
 Shu Di Huang
 Bai Shao
 Dang Gui
 Chuan Xiong
 Rou Gui
 Huang Qi
 Sheng Jiang
 Da Zao

Ren Shen Yang Rong (Ying)
Tang Ginseng Decoction to
Nourish the Nutritive Qi 人參養
榮(營) 湯
o Tonifies Qi, Nourishes
the Blood, Strengthens
the Spleen and Lungs,
Nourishes the Heart,
Calms the Shen
 Ren Shen
 Huang Qi
 Bai Zhu
 Fu Ling
 Dang Gui
 Shu Di
 Bai Shao
 Chen Pi
 Yuan Zhi
 Wu Wei Zi
 Da Zao
 Rou Gui
 Sheng Jiang
 Gan Cao
7-4 Yin tonic 補陰 (4)
 Liu Wei Di Huang Wan SixIngredient Pill with Rehmannia
六味地黃丸
o KD and LV Yin
Deficiency
 Shu Di Huang
 Shan Zhu Yu
 Shan Yao
 Fu Ling
 Mu Dan Pi
 Ze Xie


Da Bu Yin Wan Great Tonify
the Yin Pill 大補陰丸
o Upward-rising of fire
from KD and LV
deficiency
 Shu Di Huang
 Su Jiu Gui Ban
 Chao Huang Bai
 Jiu Chao Zhi Mu
Yi Guan Jian Linking Decoction
一貫煎
100 | P a g e
o LV and KD Yin
deficiency with LV qi
constraint
 Sheng Di Huang
 Gou Qi Zi
 Sha Shen
 Mai Men Dong
 Dang Gui
 Chuan Lian Zi

Zuo Gui Wan Restore the Left
(Kidney) Pill 左歸丸
o KD Yin deficiency with
injury to the essence
and marrow
 Shu Di Huang
 Shan Zhu Yu
 Gou Qi Zi
 Shan Yao
 Fu Ling
 Zhi Gan Cao
7-5 Yang tonic 補陽 (3)
 Jin Kui Shen Qi Wan Kidney Qi
Pill 金匱腎氣丸
o KD Yang Deficiency
 Shu Di Huang
 Shan Zhu Yu
 Shan Yao
 Fu Zi
 Gui Zhi
 Fu Ling
 Mu Dan Pi
 Ze Xie

Ji Sheng Shen Qi Wan Kidney
Qi Pill from Formulas to Aid the
Living 濟生腎氣丸
o Warms Yang, Tonifies
the Kidney, Aids water
transformation,
Promotes urination,
Reduces edema
 Jin Kui Shen Qi
Wan
 + Niu Xi

 + Che Qian Zi
You Gui Wan Restore the Right
(Kidney) Pill 右歸丸
o KD Yang deficiency with
waning of Mingmen-fire
 Fu Zi
 Rou Gui
 Lu Jiao Jiao
 Shu Di Huang
 Shan Zhu Yu
 Shan Yao
 Gou Qi Zi
 Tu Si Zi
 Du Zhong
 Dang Gui
o Consumption from
deficient LV Blood
 Suan Zao Ren
 Chuan Xiong
 Fu Ling
 Zhi Mu
 Gan Cao

Tian Wang Bu Xin Dan
Emperor of Heaven's Special
Pill to Tonify the Heart 天王補
心丹
o Yin Deficiency of HT and
KD
 Sheng Di Huang
 Dan Shen
 Dang Gui
 Bai Zi Ren
 Yuan Zhi
 Ren Shen
 Fu Ling
 Tian Men Dong
 Mai Men Dong
 Xuan Shen
 Wu Wei Zi
 Suan Zao Ren
 Jie Geng
 Zhu Sha
 Long Yan Rou

Bai Zi Yang Xin Wan Biota
Seed Pill to Nourish the Heart
柏子養心丸
o nourishes Heart, calm
spirit, tonifies Kidney Yin
 Bai Zi Ren
(semen biotae
orientalis)…120g
 Gou Qi Zi (fructus
lycii)…90g
 Mai Men Dong
(tuber
ophiopogonis
japonici)…30g
Formulas for tranquilization 安
劑 (6)
8-1 Tranquilizing the mind with
heavy and compressing 重鎮安神
(2)
 Zhu Sha An Shen Wan
Cinnabar Pill to Calm the Spirit
硃砂安神丸
o Vigorous HT Fire injuring
Yin and Blood
 Zhu Sha
 Huang Lian
 Dang Gui
 Sheng Di Huang
 Zhi Gan Cao

Ci Zhu Wan Magnetite and
Cinnabar Pill 磁硃丸
o Imbalance between KD
Water and HT Fire
 Ci Shi
 Zhu Sha
 Shen Qu
8-2 Tranquilizing the mind with
nourishing 滋養安神 (4)
 Suan Zao Ren Tang Sour
Jujube Decoction 酸棗仁湯
101 | P a g e







Dang Gui (radix
angelicae
sinensis)…30g
Shi Chang Pu
(rhizoma acori
graminei)…30g
Fu Shen
(sclerotium poriae
cocos
pararadicis)…30g
Xuan Shen (radix
acrophulariae
ningpoensis)…60
g
Shu Di Huang
(radix rehmanniae
glutinosae
conquitae)…60g
Gan Cao (radix
glycyrrhizae
uralensis)…15g
Gan Mai Da Zao Tang Licorice
Wheat and Jujube Decoction 甘
麥大棗湯
o Deficiency of Qi and Yin
of HT and SP
 Fu Xiao Mai
 Gan Cao
 Da Zao






Mu Li San Oyster Shell Powder
牡蠣散
o Unstable protective Qi
with injury to HT Yin
 Mu Li
 Huang Qi
 Ma Huang Gen
 Fu Xiao Mai

Jin Suo Gu Jing Wan Metal
Lock pill to Stabilize the
Essence 金鎖固精丸
o KD Deficiency not
securing Jing
 Sha Yuan Ji Li
 Lian Zi
 Qian Shi
 Su Zhi Long Gu
 Duan Mu Li
 Lian Xu

Zhen Ren Yang Zang Tang
True Man's Decoction to
Nourish the Organs 真人養臟湯
o SP and KD Yang
deficiency
 Ren Shen
 Bai Zhu
 Rou Gui
 Rou Dou Kou
 He Zi
 Zhi Ying Su Ke
 Bai Shao
 Dang Gui
 Mu Xiang
 Zhi Gan Cao

Sang Piao Xiao San Mantis
Egg-Case powder 桑螵蛸散
Formulas for astringing 固澀劑
(6)

Yu Ping Feng San Jade
Windscreen powder 玉屏風散
o Deficiency of Wei Qi
 Huang Qi
 Bai Zhu
 Fang Feng

Si Shen Wan Four-Miracle Pill
四神丸
o Cold from deficiency of
SP and KD
 Bu Gu Zhi
102 | P a g e
Rou Dou Kou
Wu Zhu Yu
Wu Wei Zi
Sheng Jiang
Da Zao
o Qi deficiency of KD and
HT
 Sang Piao Xiao
 Long Gu
 Ren Shen
 Fu Shen
 Yuan Zhi
 Chang Pu
 Zhi Gui Ban
 Dang Gui




Hou Po Wen Zhong Tang
Magnolia Bark Decoction for
Warming the Middle 厚朴溫中
湯
o Damp-Cold injuring SP
and ST
 Hou Po
 Cao Dou Kou
 Chen Pi
 Mu Xiang
 Gan Jiang
 Sheng Jiang
 Fu Ling
 Zhi Gan Cao

Tian Tai Wu Yao San TopQuality Lindera Powder 天台烏
藥散
o Cold invading LV
channel and causing Qi
stagnation
 Wu Vao
 Xiao Hui Xiang
 Gao Liang Jiang
 Qing Pi
 Mu Xiang
 Bing Lang
 Jin Li ng Zi
 Ba Dou
Formulas for regulating Qi 理
氣劑 (10)
10-1 Improving Qi circulation 行氣
(5)
 Yue Ju Wan Escape Restraint
Pill 越鞠丸
o Mildly constrained Qi
 Xiang Fu
 Chuan Xiong
 Cang Zhu
 Shan Zhi Zi
 Shen Qu


Ban Xia Hou Po Tang Pinellia
and Magnolia Bark Decoction
半夏厚朴湯
o Constrained Qi with
concurrent Phlegm
 Ban Xia
 Hou Po
 Fu Ling
 Sheng Jiang
 Zi Su Ye
Zhi Shi Xie Bai Gui Zhi Tang
Unripe Bitter Orange, Chinese
Garlic, and Cinnamon Twig
Decoction 枳實薤白桂枝湯
o severe stabbing painful
obstruction of the chest,
Cold Phlegm Chest Bi
 Hou Po
 Xie Bai
103 | P a g e
Zhi Shi
Gui Zhi
Gua Lou
10-2 Bring Qi downward 降氣 (5)
 Su Zi Jiang Qi Tang Perilla
Fruit Decoction for Directing Qi
Downward 蘇子降氣湯
o Congested fluids with
KD deficiency
 Ban Xia
 Hou Po
 Chen Pi
 Qian Hu
 Rou Gui








Dang Gui
Sheng Jiang
Su Ye
Da Zao
Zhi Gan Cao
Ding Chuan Tang Arrest
Wheezing Decoction 定喘湯
o Wind-Cold in exterior
and Phlegm-Heat in the
interior
 Ma Huang
 Yin Xing
 Xing Ren
 Su Zi
 Ban Xia
 Kuan Dong Hua
 Sang Bai Pi
 Huang Qin
 Gan Cao
Xuan Fu Dai Zhe Tang Inola
and Hematite Decoction 旋覆代
赭湯
o SP and ST deficiency
with Phlegm in the
interior
 Xuan Fu Hua
 Dai Zhe Shi
 Ban Xia
 Sheng Jiang
 Ren Shen
 Zhi Gan Cao
 Da Zao
Ju Pi Zhu Ru Tang Tangerine
Peel and Bamboo Shavings
Decoction 橘皮竹茹湯
o ST deficiency with Heat
 Chen Pi
 Zhu Ru
 Ren Shen
 Sheng Jiang
 Gan Cao
 Da Zao
104 | P a g e

Ding Xiang Shi Di Tang Clove
and Persimmon Calyx
Decoction 丁香柿蒂湯
o Cold from deficiency of
ST
 Ding Xiang
 Shi Di
 Sheng Jiang
 Ren Shen
Formulas for regulating blood
理血劑 (12)
11-1 Improve blood circulation
and remove blood stagnation 活
血袪瘀 (7)
 Tao He Cheng Qi Tang Peach
Pit Decoction to Order the Qi 桃
核承氣湯
o Blood stasis and Heat in
the lower burner
 Tao Ren
 Da Huang
 Gui Zhi
 Mang Xiao
 Zhi Gan Cao

Xue Fu Zhu Yu Tang Drive Out
Stasis in the Mansion of Blood
Decoction 血府逐瘀湯
o Blood stasis in the chest
and constrained LV Qi
 Tao Ren
 Hong Hua
 Chuan Xiong
 Dang Gui
 Chi Shao
 Chuan Niu Xi
 Sheng Di Huang
 Chai Hu
 Jie Geng
 Zhi Ke
 Gan Cao

Fu Yuan Huo Xue Tang Revive
health by Invigorate the blood
Decoction 復元活血湯
o Blood stasis and Qi
stagnation
 Dan Gui
 Tao Ren
 Hong Hua
 Chuan Shan Zha
 Jiu Zhi Da Huang
 Tian Hua Fen
 Chai Hu
 Gan Cao

Bu Yang Huan Wu Tang Tonify
the Yang to Restore Five
(Tenths) Decoction 補陽還五湯
o Blood stasis with normal
Qi and yang Qi
deficiency
 Huang Qi
 Dang Gui Wei
 Chuan Xiong
 Chi Shao
 Tao Ren
 Hong Hua
 Di Long

Sheng Hua Tang Generating
and Transforming Decoction 生
化湯
o Blood stasis in the womb
due to Cold entering the
abdomen in postpartum
 Dang Gui
 Chuan Xiong
 Tao Ren
 Pao Jiang
 Zhi Gan Cao

Gui Zhi Fu Ling Wan Cinnamon
and Poria Pills 桂枝茯苓丸
o Blood stasis in the womb
during pregnancy
 Gui Zhi
 Fu Ling
105 | P a g e

 Shao Yao
 Mu Dan Pi
 Tao Ren
 Feng Mi
Shi Xiao San Sudden Smile
Powder 失笑散
o Blood stasis in the lower
abdomen
 Wu Ling Zhi
 Pu Huang
11-2 Stop bleeding 止血 (5)
 Xiao Ji Yin Zi Small Thistle
Drink 小薊飲子
o Aggregation of static
Heat in the lower burner
 Xiao Ji
 Ou lie
 Chao Pu Huang
 Sheng Di Huang
 Hua Shi
 Mu Tong
 Dan Zhu Ye
 Zhi Zi
 Dang Gui
 Zhi Gan Cao

Shi Hui San Ten PartiallyCharred Substances Powder 十
灰散
o LV Fire attacking ST
 Da Ji
 Xiao Ji
 He Ye
 Ce Bai Ye
 Bai Mao Gen
 Qian Cao Gen
 Zong Lu Pi
 Zhi Zi
 Da Huang
 Mu Dan Pi

Ke Xue Fang Coughing of
Blood Formula 咳血方
o LV Fire scorching LU






Huang Tu Tang Yellow Earth
Decoction 黃土湯
o SP Yang deficiency
 Zao Xin Tu
 Bai Zhu
 Fu Zi
 Sheng Di Huang
 E Jiao
 Huang Qin
 Gan Cao
Huai Hua San Sophora
Japonica Flower Powder 槐花
散
o Intestinal Wind from
Wind-Heat toxin or
Damp-Heat toxin
 Huai Hua Mi
 Ce Bai Ye
 Jing Jie Sui
 Zhi Ke
Formulas for treating wind
related diseases 治風劑 (10)
12-1 Expel external wind 疏散外風
(5)
 Xiao Feng San Eliminate Wind
Powder 消風散
o Wind-Damp-Heat
invading the body,
contending with preexisting Damp-Heat
 Jing Jie
 Fang Feng
 Niu Ban Zi
 Chan Tui
 Cang Zhu
 Ku Shen
 Mu Tong
106 | P a g e






Huai Hua Mi
Ce Bai Ye
ling lie Sui
Zhi Ke

Shi Gao
Zhi Mu
Sheng Di Huang
Dang Gui
Hei Zhi Ma
Gan Cao
Chuan Xiong Cha Tiao San
Ligusticum Chuanxiong Powder
to Be Taken with Green Tea 川
芎茶調散
o disperse Wind (cold or
Heat) & relieve pain,
take with green tea
 Bo He (herba
menthae
haplocalycis)…24
0g
 Chuan Xiong
(radix ligustici
chuanxiong)…12
0g
 Bai Zhi (radix
angelicae
dahuricae)…60g
 Qiang Huo (radix
& rhizoma
notopterygii)…60
g
 Xi Xin (herba cum
radice
asari)…30g
 Jing Jie (herba
seu flos
schizonepetae
tenuifoliae)…120
g
 Fang Feng (radix
ledebouriellae
divaricatae)…45g
 Gan Cao (radix
glycyrrhizae
uralensis)…60g
 *To be taken with
green tea.

Cang Er Zi San Xanthium
Powder 蒼耳子散
o expel Wind & relieve
nasal congestion
 Cang Er Zi
(fructus xanthii
sibirici)…7.5g
 Xin Yi Hua (flos
magnoliae)…15g
 Bai zhi (radix
angelicae
dahuricae)…30g
 Bo He (herba
menthae
heplocalycis)…1.
5g [add near end
if decocting]

Qian Zheng San Lead to
Symmetry Powder 牽正散
o Channel-stroke from
Wind-Phlegm with
head/face symptoms
 Bai Fu Zi
 Jiang Can
 Quan Xie

Xiao Huo Luo Dan Minor
Invigorate the Channels
Special Pill 小活絡丹
o Sequelae of Wind-stroke
when Cold causes
Damp, Phlegm, and
Blood stasis to obstruct
the channels and
Collaterals
 Zhi Cao Wu
 Zhi Chuan Wu
 Tian Nan Xing
 M o Yao
 Ru Xiang
 Di Long
12-2 Extinguish internal wind 平熄
內風 (5)
107 | P a g e

Ling Jiao Gou Teng Tang
Antelope Horn and Uncaria
Decoction 羚角鉤藤湯
o Heat from excess in LV
channel generating
internal Wind
 Ling Yang Jiao
 Gou Teng
 Sang Ye
 Ju Hua
 Bai Shao
 Sheng Di Huang
 Chuan Bei M u
 Zhu Ru
 Fu Shen
 Gan Cao

Zhen Gan Xi Feng Tang
Sedate the Liver and
Extinguish Wind Decoction 鎮
肝熄風湯
o LV /KD Yin deficiency
with ascendant Liver
Yang generating Wind
 Huai Niu Xi
 Zhe Shi
 Long Gu
 Mu Li
 Gui Ban
 Xuan Shen
 Tian Men Dong
 Bai Shao
 Yin Chen Hao
 Chuan Lian Zi
 Mai Ya
 Gan Cao

Tian Ma Gou Teng Yin
Gastrodia and Uncaria
Decoction 天麻鉤藤飲
o Ascendant LV Yang and
internal movement of LV
Wind
 Tian M a
 Gou Teng
 Shi Jue M ing










Zhi Zi
Huang Qin
Vi Mu Cao
Chuan Niu Xi
Du Zhong
Sa ng Ji Sheng
Ye Jiao Teng
Fu Shen
Da Ding Feng Zhu Major Arrest
Wind Pearl 大定風珠
o Severe injury to the Yin
and fluids which causes
internal Wind
 Ji Zi Huang
 E Jiao
 Bai Shao
 Zhi Gan Cao
 Wu Wei Zi
 Sheng Di Huang
 Mai Men Dong
 Huo Ma Ren
 Gui Ban
 Bie Jia
 Mu Li
Di Huang Yin Zi Rehmannia
Drink 地黃飲子
o Waning of KD Yin and
Yang, upward-flaring of
Fire from deficiency, and
turbid Phlegm that
blocks the orifices
 Shu Di Huang
 Shan Zhu Yu
 Rou Cong Rong
 Bai Ji Tian
 Fu Zi
 Rou Gui
 Shi Hu
 Mai Men Dong
 Shi Chang Pu
 Yuan Zhi
 Fu Ling
 Wu Wei Zi
108 | P a g e
Formulas for treating dryness
diseases 治燥劑 (8)


Qing Zao Jiu Fei Tang
Eliminate Dryness and Rescue
the Lung Decoction 清燥救肺湯
o Dryness attacking LU
 Sang Ye
 Shi Gao
 Mai Men Dong
 E Jiao
 Hei Zhi Ma
 Xing Ren
 Mi Zhi Pi Pa Ye
 Ren Shen
 Gan Cao
Xing Su San Apricot Kernel and
Perilla Leaf Powder 杏蘇散
o Cool-Dryness
 Xing Ren
 Zi Su Ye
 Qian Hu
 Jie Geng
 Zhi Ke
 Chen Pi
 Fu Ling
 Ban Xia
 Sheng Jiang
 Da Zao
 Gan Cao

Sang Xing Tang Mulberry Leaf
and Apricot Kernel Decoction
桑杏湯
o Warm-Dryness
 Sang Ye
 Xing Ren
 Zhi Zi
 Dan Dou Chi
 Zhe Bei Mu
 Sha Shen
 Li Pi

Mai Men Dong Tang
Ophiopogonis Decoction 麥門
冬湯
o Dry LU atrophy (upper
and middle burners)
 Mai Men Dong
 Ren Shen
 Geng Mi
 Dan Zao
 Gan Cao
 Ban Xia



Bai He Gu Jin Tang Lily Bulb
Decoction to Preserve the
Metal 百合固金湯
o Internal dryness of LU
(upper burner)
 Bai He
 Sheng Di Huang
 Shu Di Huang
 Mai Men Dong
 Xuan Shen
 Chuan Bei Mu
 Jie Geng
 Dan Gui
 Bai Shao
 Gan Cao
Yu Ye Tang Jade Fluid
Decoction 玉液湯
o Wasting and thirsting
disorder (lower burner)
 Shan Yao
 Huang Qi
 Zhi Mu
 Tian Mu Hua Fen
 Ji Nei Jin
 Ge Gen
 Wu Wei Zi
Zeng Ye Tang Increase the
Fluids Decoction 增液湯
o Dry Intestines (lower
burner)
 Xuan Shen
 Mai Men Dong
 Sheng Di Huang
109 | P a g e

Yang Yin Qing Fei Tang
Nourish the Yin and Clear the
Lungs Decoction 養陰清肺湯
o Diphtherial disorder
(upper burner)
 Sheng Di Huang
 Xuan Shen
 Mai Men Dong
 Chao Bai Shao
 Mu Dan Pi
 Bei Mu
 Bo He
 Gan Cao
Formulas for eliminating dampness
袪濕劑 (17)
 Ping Wei San Calm the
Stomach Powder 平胃散
o Damp-Cold stagnating in
SP and ST
 Cang Zhu
 Hou Po
 Chen Pi
 Zhi Gan Cao
 Sheng Jiang
 Da Zao

Huo Xiang Zheng Qi San
Agastache Powder to Rectify
the Qi 藿香正氣散
o Externally-contracted
Wind-Cold with internal
turbid Damp
 Hou Xiang
 Hou Po
 Chen Pi
 Zi Su Ye
 Bai Zhi
 Ban Xia
 Da Fu Pi
 Bai Zhu
 Fu Ling
 Jie Geng
 Zhi Gan Cao
 Sheng Jiang
 Da Zao

Yin Chen Hao Tang Artemisiae
Yin Chen Hao Decoction 茵陳
蒿湯
o Damp-Heat jaundice
(middle burner)
 Yin Chen Hao
 Zhi Zi
 Da Huang

Ba Zheng San Eight Herb
Powder for Rectification 八正散
o Clumping of Damp-Heat
in the lower burner
 Mu Tong
 Hua Shi
 Che Qian Zi
 Qu Mai
 Bian Xu
 Zhi Zi
 Zhi Da Huang
 Deng Xin Cao
 Gan Cao


San Ren Tang Three Seed
Decoction 三仁湯
o Damp-Heat in Wei and
Qi levels with Damp
predominant (upper
burner)
 Xing Ren
 Bai Dou Kou
 Vi Vi Ren
 Hou Po
 Ban Xia
 Tong Cao
 Dan Zhu Ye
 Hua Shi
Gan Lu Xiao Du Dan Sweet
Dew Special Pill to Eliminate
Toxin 甘露消毒丹
o Damp Warm-febrile
disease or seasonal
epidemic in Qi level
(upper burner)
110 | P a g e











Lian Qiao
Huang Qin
Bo He
She Gan
Chuan Bei Mu
Hua Shi
Mu Tong
Yin Chen Hao
Hou Xiang
Shi Chang Pu
Bai Dou Kou

Er Miao San Two-Marvel
Powder 二妙散
o Damp-Heat lodging in
the lower burner
 Huang Bai
 Cang Zhu

Wu Ling San Five-Ingredient
Formula with Poria 五苓散
o Water buildup
 Ze Xie
 Fu Ling
 Zhu Ling
 Bai Zhu
 Gui Zhi

Fang Ji Huang Qi Tang
Stephania and Astragalus
Decoction 防己黃耆湯
o Wind-edema or WindDamp
 Huang Qi
 Han Fang Ji
 Bai Zhu
 Zhi Gan Cao
 Sheng Jiang
 Da Zao

Zhu Ling Tang Polyporus
Decoction 豬苓湯
o Clumping of Water and
Heat
 Zhu Ling
 Fu Ling








Ze Xie
Hua Shi
E Jiao

Wu Pi Yin Five Peel Decoction
五皮飲
o Skin edema
 Sang Bai Pi
 Sheng Jiang Pi
 Fu Ling Pi
 Chen Pi
 Da Fu Pi
Zhen Wu Tang True Warrior
Decoction 真武湯
o Pathogenic fluids
retention with KD Yang
deficiency
 Fu Zi
 Bai Zhu
 Fu Ling
 Sheng Jiang
 Bai Shao
Shi Pi Yin Bolster the Spleen
Decoction 實脾飲
o Yin edema from SP and
KD Yang deficiency
 Fu Zi
 Gan Jiang
 Fu Ling
 Bai Zhu
 Mu Gua
 Hou Po
 Mu Xiang
 Da Fu Pi
 Cao Guo
 Zhi Gan Cao
 Sheng Jiang
 Da Zao
Bei Xie Fen Qing Yin Dioscorea
Hypoglauca Decoction to
Separate the Clear 萆薢分清飲
o warms Kidney Yang,
remove turbid Damp
111 | P a g e


Bei Xie (rhizoma
dioscoreae
hypoglaucae)…1
2g
Yi Zhi Ren
(fructus alpiniae
oxyphyllae)…9g
Wu Yao (radix
linderae
strychnifoliae)…9
g
Shi Chang Pu
(rhizoma acori
graminei)…9g

Ling Gui Zhu Gan Tang Poria,
Cinnamon Twig, Atractylodes
and Licorice Decoction 苓桂朮
甘湯
o Warms and transforms
phlegm fluids,
strengthens the SP and
clear damp
 Fu Ling
(sclerotium poriae
cocos)…12g
 Gui Zhi (ramulus
cinnamomi
cassiae)…9g
 Bai Zhu (rhizoma
atracylodis
macrocephalae)
…6g
 Zhi Gan Cao
(honey fried radix
glycyrrhizae
uralensis)…6g

Du Huo Ji Sheng Tang
Angelica Pubescentis and
Taxillus Decoction 獨活寄生湯
o Painful obstruction with
LV and KD deficiency
 Du Huo
 Xi Xin
 Fang Feng













Qin Jiao
Sang Ji Sheng
Du Zhong
Niu Xi
Rou Gui
Dang Gui
Chuan Xiong
Sheng Di Huang
Bai Shao
Ren Shen
Fu Ling
Zhi Gan Cao
Qiang Huo Sheng Shi Tang
Notopterygium Decoction to
Overcome Dampness 羌活勝濕
湯
o Wind-Damp in the
exterior and muscle
layer
 Qiang Huo
 Du Huo
 Gao Ben
 Fang Geng
 Chuan Xiong
 Man Jing Zi
 Zhi Gan Cao
Formulas for eliminating
phlegm 袪痰劑 (11)
15-1 Dissolve phlegm and drying
dampness 燥濕化痰 (2)
 Er Chen Tang Decoction of
Two Aged (Cured) Drugs 二陳
湯
o Damp and Phlegm due
to SP deficiency
 Ban Xia
 Ju Hong
 Fu Ling
 Zhi Gan Cao
 Sheng Jiang
 Wu Mei
112 | P a g e

Wen Dan Tang Warm
Gallbladder Decoction 溫膽湯
o GB and ST disharmony
with Phlegm-Heat
 Zhu Ru (caulis
bambusae in
taeniis)…6g
 Zhi Shi (fructus
immaturus citri
aurantii)…6g
 Ban Xia (rhizome
pinelliae
ternatae)…6g
 Chen Pi
(pericarpium citri
reticulatae)…9g
 Fu Ling
(sclerotium poriae
cocos)…4.5g
 Gan Cao (radix
glycyrrhizae
uralensis)…3g
 Sheng Jiang
(rhizoma
zingiberis
officinalis
recens)…3-6g
15-2 Dissolve phlegm and clear
heat 清熱化痰 (3)
 Qing Qi Hua Tan Wan Clear
the Qi and Transform Phlegm
Pill 清氣化痰湯
o Internal clumping of
Phlegm-Heat
 Dan Nan Xing
 Huang Qin
 Gua Lou Ren
 Zhi Shi
 Chen Pi
 Fu Ling
 Ban Xia
 Xing Ren

Xiao Xian Xiong Tang Minor
Decoction (for Pathogens)
Stuck in the Chest 小陷胸湯
o Clumping in the chest
 Gua Lou
 Huang Qin
 Jiang Ban Xia

Gun Tan Wan Vaporize
Phlegm Pill 滾痰湯
o Drains Fire, Drives out
Phlegm
 (Duan) Meng Shi
 Da Huang
 Huang Qin
 Chen Xiang
15-3 Dissolve phlegm and moisten
dryness 潤燥化痰 (1) 滾痰湯
 Bei Mu Gua Lou San Fritillaria
and Trichosanthis Fruit Powder
貝母瓜蔞散
o Dry-Phlegm
 Chuan Bei Mu
 Gua Lou
 Tian Hua Fen
 Fu Ling
 Ju Hong
 Jie Geng
15-4 Dissolve cold phlegm with
warm herbs 溫化寒痰 (2)
 Ling Gan Wu Wei Jiang Xin
Tang Poria, Licorice,
Schisandra, Ginger, and
Asarum Decoction 苓甘五味薑
辛湯
o Congested fluids in the
epigastrium
 Fu Ling
 Gui Zhi
 Bai Zhu
 Zhi Gan Cao
113 | P a g e

San Zi Yang Qin Tang Three
Seed Decoction to Nourish
One’s Parents 三子養親湯
o Cold LU with food
stagnation
 Bai lie Zi
 Su Zi
 Lai Fu Zi
15-5 Dissolve phlegm and treat
wind 治風化痰 (3)
 Ban Xia Bai Zhu Tian Ma Tang
Pinellia, Atractylodes
Macrocephala and Gastrodia
Decoction 半夏白朮天麻湯
o Upward disturbance of
Wind-Phlegm
 Ban Xia
 Tian Ma
 Bai Zhu
 Ju Hong
 Fu Ling
 Sheng Jiang
 Da Zao
 Gan Cao

Ding Xian Wan Arrest Seizures
Pill 定癇丸
o Phlegm and LV Wind
leading to seizure
disorder
 Zhu Li
 Dan Nan Xing
 Chuan Bei Mu
 Jiang Ban Xi a
 Fu Ling
 Chen Pi
 Ginger Juice
 Tian Ma
 Quan Xie
 Jiang Can
 Mai Men Dong
 Dan Shen
 Fu Shen
 Ju Po
 Zhu Sha




Shi Chang Pu
Yuan Zhi
Gan Cao



Zhi Sou San Stop Coughing
Powder 止嗽散
o Wind attacking LU
 Zi Wan
 Bai Qian
 Bai Bu
 Jie Geng
 Chen Pi
 Jing Jie
 Gan Cao


Zhi Shi Dao Zhi Wan Unripe
Bitter Orange Pill to Guide out
Stagnation 枳實導滯丸
o reduces & guides out
painful food stagnation,
clears Heat & Damp
 Zhi Shi (fructus
immaturus citri
aurantii)…15g
 Da Huang (radix
and rhizoma
rhei)…30g
 Shen Qu (massa
fermentata)…15g
 Fu Ling
(sclerotium poriae
cocos)…9g
 Huang Qin (radix
scutellariae)…9g
 Huang Lian
(rhizoma
coptidis)…9g
 Bai Zhu (rhizoma
atractylodis
macrocephalae)
…9g
 Ze Xie (rhizoma
alismatis
orientalis)…6g

Mu Xiang Bin Lang Wan
Aucklandia and Betel Nut Pill
木香檳榔丸
o Severe stagnation and
accumulation
 Mu Xiang
 Bing Lang
 Da Huang
 Qian Niu Zi
 Qing Pi
Formulas for improving
digestion 消導劑 (7)

Bao He Wan Preserve
Harmony Pill 保和丸
o Acute, relatively mild
Conditions
 Shan Zha
 Shen Qu
 Lai Fu Zi
 Ban Xia
 Chen Pi
 Fu Ling
 Lian Qiao
 Mai Ya

Jian Pi Wan Strengthen the
Spleen Pill 健脾丸
o Relatively severe SP
deficiency and the
beginnings of Heat
 Chao Bai Zhu
 Fu Ling
 Ren Shen
 Shan Yao
 Rou Dou Kou
 Shan Zha
 Chao Shen Qu
 Chao Mai Ya
 Mu Xiang
114 | P a g e
Chen Pi
Sha Ren
Jiu Chao Huang
Lian
Gan Cao









Chen Pi
Chao Xiang Fu
E Zhu
Huang Lian
Huang Bai
Sheng Jiang
Zhi Zhu Wan Unripe Bitter
Orange and Atractylodes Pill 枳
朮丸
o SP and ST Deficiency
 Bai Zhu
 Zhi Shi
 He Ye
Zhi Shi Xiao Pi Wan Unripe
Bitter Orange Pill to Reduce
Focal Distention 枳實消痞丸
o Cold-Heat complex due
to Qi stagnation and
deficient SP Qi
 Zh i Shi
 Zhi Hou Po
 Huang Lian
 Ban Xia
 Ren Shen
 Bai Zhu
 Fu Li ng
 M ai Ya
 Gan Jiang
 Zhi Gan Cao
Bie Jia Jian Wan 鱉甲煎丸
o Activates the Blood,
Removes Stasis,
Circulates Qi, Resolves
Phlegm, Eliminates ,
accumulations, Softens
and resolve hard
masses
 Bie Jia (Carapax
Trionycis) 90 g,
 She Gan
(Rhizoma
Belamcandae)
22.5 g,
115 | P a g e

















Huang Qin (Radix
Scutellariae) 22.5
g,
Chao Shu Fu
(stir-fried
Armadillidium
Vulgare) 22.5 g,
Gan Jiang
(Rhizoma
Zingiberis) 22.5 g,
Da Huang (Radix
et Rhizoma Rhei)
22.5 g,
Gui Zhi (Ramulus
Cinnamomi) 22.5
g,
Shi Wei (Folium
Pyrrosiae) 22.5 g,
Hou Po (Cortex
Magnoliae
Officinalis) 22.5 g,
Qu Mai (Herba
Dianthi) 22.5 g,
Zi Wei (Radix
Campsis) 22.5 g,
E Jiao (Colla Corii
Asini) 22.5 g,
Chai Hu (Radix
Bupleuri) 45 g,
Chao Qiang Lang
(Dung Beetle) 45
g,
Shao Yao (Radix
Paeoniae Alba)
37 g,
Dan Pi (Cortex
Moutan) 37 g,
Chao Zhe Chong
(Stir-fried
Eupolyphaga seu
Stelephaga) 37 g,
Zhi Feng Chao
(Nedus Vespar
Preparata) 30 g,
Chi Xiao (Natrii
Sulfas) 90 g,




o Toxic-Heat or PhlegmFire
 lin Yin Hua
 Chen Pi
 Dang Gui
 Chi Shao
 Ru Xiang
 Mo Yao
 Fang Feng
 Bai Zhi
 Zhe Bei Mu
 Tian Hua Fen
 Chuan Shan Jia
 Zao Jiao Ci
 Gan Cao
Tao Ren (Semen
Persicae) 15 g,
Ren Shen (Radix
Ginseng) 7.5 g,
Ban Xia (Rhizoma
Pinelliae) 7.5 g,
Ting Li Zi (Semen
Lepidii) 7.5 g.
Formulas for parasite
diseases 驅蟲劑 (2)


Wu Mei Wan Mume Pill 烏梅丸
o Collapse from
roundworms
 Wu Mei
 Chuan Jiao
 Xi Xin
 Huang Lian
 Huang Bai
 Gan Jiang
 Fu Zi
 Gui Zhi
 Ren Shen
 Dan Gui
Fei Er Wan Fat Baby Pill 肥兒
丸
o Childhood nutritional
impairment from
parasitic infestation
 Shi Jun Zi
 Bing Lang
 Huang Lian
 Rou Dou Kou
 Mu Xiang
 Chao Mai Ya
 Chao Shen Qu
 Pig Gall
Formulas for abscess (yong
yang) 癰瘍劑 (7)

Xian Fang Huo Ming Yin
Immortals' Formula for
Sustaining Life 仙方活命飲
116 | P a g e

Wu Wei Xiao Du Yin Five
Ingredient Decoction to
Eliminate Toxin 五味消毒飲
o Toxic-Heat from
externally-contracted
Heat
 lin Yin Hua
 Pu Gong Ying
 Zi Hua Di Ding
 Ye lu Hua
 Zi Bei Tian Kuei

Yang He Tang Balmy Yang
Decoction 陽和湯
o Yin-type localized
Swelling
 Shu Di Huang
 Lu Jiao Jiao
 Rou Gui
 Pao Jiang
 Bai Jie Zi
 Ma Huang
 Gan Cao

Si Miao Yong An Tang FourValiant Decoction for Well
Being 四妙勇安湯
o Toxic-Heat leading to
Blood stasis in the





sinews and blood
vessels
 Jin Yin Hua
 Xuan Shen
 Dang Gui
 Gan Cao


Wei Jing Tang Reed Decoction
葦莖湯
o Lung abscess from
Toxic-Heat obstructing
LU
 Lu Gen
 Yi Yi Ren
 Dong Gua Ren
 Tao Ren

Da Huang Mu Dan Pi Tang
Rhubarb and Moutan
Decoction 大黃牡丹皮湯
o Early-stage Intestinal
abscess from interior
clumping of Heat and
Blood (lower burner)
117 | P a g e

Da Huang
Mang Xiao
Mu Dan Pi
Tao Ren
Dong Gua Ren
Yi Yi Fu Zi Bai Jiang San Coix,
Aconite Accessory Root and
Patrinia Powder 薏苡附子敗醬
散
o expels pus & reduces
swelling, intestinal
abscess without fever
 Yi Yi Ren (semen
coicis lachrymajobi)…24-30g
 Fu Zi (radix
lateralis aconite
carmichaeli
praeparata)…69g
Bai Jiang Cao (herba bai jiang
cao)…15-18g
Patient Progress Notes
First Name: Lao
Chief Complaint: Patients CC
Last Name: Tzu
Date: 00/00/0000
Signs & Symptoms: Associated Sx, consider using S.O.A.P (subjective,
objective, assessment, plan). You must have enough information to
support your Illness or Diagnosis below.
Note: Follow up appointments should generally be concise, not taking
longer than 15 minutes. Focus on what may have changed since last
session and only change the diagnosis and treatment if there are no results
after a significant number of visits (usually at the supervisor’s discretion).
Always leave space for the patient to bring up new information: “Is there
anything else that you would like us to work on this session?”.
TCM Illness: TCM Illness listed here
TCM Diagnosis: Differential TCM Diagnosis for the Patient’s CC
Treatment Principle: Should match the Diagnosis above as well as the
treatment below
Treatment: Including Acupuncture, Tuina, Moxa, Cupping, e-stim, or any
other manual therapy provided, lifestyle recommendations, exercises,
meditation, or any other discussed course of therapy.
Herbal Medicine:
See the separate form for herbal prescription
requirements, but the formula, dosage and course of treatment must be
recorded here. Students of Herbal Medicine or the TCMP program are
required to write a “suggested” formula for each patient even if the patient
does not choose to purchase the herbs.
Patient Response: Record any changes after treatment here. Try to use
quantifiers such as a scale from 1-10 before and after treatment for pain.
Student Practitioners and rolls: Primary Student Practitioners name(s)
and rolls. For example: Jacky Chan: Tuina and Acupuncture Jet Li:
Acupuncture and Qigong lesson.
Student Observers: Observing Student Practitioners name(s)
Clinical Supervisor signature: Make sure the supervisor signs off
Date: 00/00/0000
118 | P a g e
Herbal Prescription Form




The information required on a TCM herbal prescription includes:
name, address and contact telephone number of the practitioner
name of the patient (and patient's parent or guardian where required)
date the prescription was written
name of each herb included in the prescription
“The use of Chinese using Pinyin may be included but should not be used
alone
since this may result in confusion. The botanical name or Latinate
medicinal
name should always be provided along with Pinyin.
The use of the botanical name or the Latinate medicinal name is required,
but
may not be sufficient for all situations. The Chinese characters (traditional
or
simplified) or Chinese using Pinyin name should always be provided along
with
botanical name or the Latinate medicinal name in order to meet the safety
requirement. Care should be taken to accurately specify the herb required.
In
cases where a number of species may share the same Chinese name,
specific
nomenclature is needed to provide clarity. It is not sufficient to use only an
English name if that could lead to confusion.”







part of the herb (when relevant to avoid confusion)
method of preparation (e.g., whole, powdered, granule, tincture)
form of processing (when relevant to avoid confusion)
quantity of each herb
preparation instructions
number of packets or dosage as applicable
instructions on how to use the medication as required for safe usage
(P. 90-91, CTCMPAO Safety Program Handbook)
The following sample form should serve as a guideline to these requirements. As
a student practitioner, you should adapt the form if needed. The original should
be kept in the patient file and a photocopy should be given to the patient with the
herbs.
119 | P a g e
Patient name and D.O.B: Bin Jiang Wu
Date of prescription: 00/00/0000
Prescription Expiry: (1 week if not
otherwise indicated)
OCTCM Contact address & Phone: That cool place we all love
Clinical Supervisor with contact phone: Huang Di 000-000-0000
Herbal Formula (if applicable): Aiye Tang
Single herbs name
Single herbs name (latin)
(pinyin)
Ai Ye
Folium Artemisiae Argyi
Additional:
Instructions for use:
cups per day after meals
Duration: 5 days
Quantity
(packets)
1
Total
Dosage
10
2 Preparation Instructions: GRANULES: Empty all
contents of combined packets into a cup. Add hot water.
Stir until granules have dissolved. Drink slowly for best
absorption.
Follow-up date:
00/00/0000
Warnings: An example of a generic warning would be: Do not take herbs within two
hours of taking other medications as they may interfere with each other. If you
experience any adverse side effects, stop taking the herbs and contact your practitioner
immediately. Severe allergic reactions are rare, however, if you experience severe
allergic reactions, seek immediate medical attention.
Or, for external oils may be:
Oils and liniments may stain clothing and may cause skin irritation. If skin is irritated,
reduce frequency and quantity. If irritation continues, discontinue use entirely and
contact your practitioner for an alternative.
The above examples should be used only as guidelines.
Total price: $30
Student’s name:
Signature:
______________________
__________________________
Date:
_________________
Supervisor’s name:
______________________
Date:
_________________
120 | P a g e
Signature:
__________________________
Final Words
“Sometimes it is more important to discover what one cannot do, than what
one can do.” --- Lin Yu-t’ang Chinese writer
“Each friend represent a world in us, a world not born until they arrive, and
it is only by this meeting that a new world is born.” --- Anais Nin
“A human being is part of a whole, called by us the “universe” a part limited
in time and space. He experiences himself, his thoughts and feelings, as
something separated from the rest -- a kind of optical delusion of his
consciousness. This delusion is a kind of prison for us, restricting us to our
personal desires and to affection for a few persons nearest us. Our task
must be to free ourselves from this prison by widening our circles of
compassion to embrace all living creatures and the whole of nature in its
beauty.” --- Albert Einstein.
121 | P a g e
NOTES
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NOTES
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NOTES
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NOTES
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NOTES
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126 | P a g e
Clinical Practicum Competencies
Each student is required to demonstrate the competencies listed below
during their clinical hours. Each competency must be observed and initialed
by a clinical supervisor in order to complete your clinical hours. Completing
each competency before your clinical hours are complete does not exempt
you from completing your required hours. As a student, it is YOUR
responsibility to seek initials from your supervisors for the demonstration of
each competency. In situations that do not permit the actual application of
the competency, you should seek to demonstrate it in other ways (for
example a short discussion or presentation)
The following chart should be filled out by your clinical supervisors
throughout the course of your clinical training. Each competency should be
initialed and dated when the supervisor has seen you demonstrate it. The
comments can be used to detail where the student needs improvement.
Clinical Examinations may be used to asses these competencies.
Clinical Management
Comments
Ensure complete and
accurate clinical records.
Ensure complete and
accurate financial records.
Ensure that records are
legible.
Ensure patient access to
records.
Ensure physical security and
integrity of records.
Ensure privacy and
confidentiality of records.
Ensure preservation of
records, and destruction
according to law or
regulation.
Ensure sound financial
management.
Communicate fee and
127 | P a g e
Initials
Date
payment policies to patient
in advance.
Maintain ethical billing
practices.
Ensure professional liability
and malpractice insurance.
Employ ethical advertising.
Establish office procedures
and supervise staff
accordingly.
Identify appropriate supply
for herbs.
Assess quality of herbs with
reference to: packaging,
labeling, physical properties,
available quality assurance
information
Store herbs in appropriate
conditions, including:
environment, security,
monitoring
Maintain records with
respect to inventory.
Verify formula information is
clear, complete and
accurate.
Verify availability of
components and confirm
substitution if required.
Confirm identity and quality
of components.
Compound formula.
Apply packaging.
Apply labeling.
Provide instructions for
storage and use.
Maintain dispensing records.
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Clinical Practice
Comments
Speak clearly and concisely
using plain language, and
/or medical terminology, and
/ or TCM terminology, as
appropriate.
Write clearly and concisely
using plain language, and
/or medical terminology, and
/ or TCM terminology, as
appropriate.
Comprehend written
information presented in
plain or technical language.
Comprehend oral
communication presented in
plain or technical language.
Confirm recipient
understands
communication.
Distinguish between
professional and personal
opinions.
Respond to non-verbal
communication.
Respond to sources of
interpersonal conflict.
Develop and maintain
effective inter-professional
relationships.
Identify the functions of
other service providers
commonly encountered in
the health care setting.
Show respect to colleagues
and to other service
providers.
Develop productive working
relationships.
129 | P a g e
Initials Date
Address professional
differences that may lead to
conflict.
Work cooperatively in an
interdisciplinary health care
setting.
Facilitate consultation,
collaboration and referral
when of benefit to the
patient.
Show respect toward
patients as individuals.
Respect diverse cultures
and choices.
Exhibit compassion toward
patients.
Maintain practitioner /
patient boundaries.
Facilitate honest, reciprocal
communication.
Explain the role of
acupuncture in patient’s
overall health care.
Explain the role of TCM
herbal treatment in patient’s
overall health care.
Encourage patient to take
responsibility for his / her
health.
Ensure that patient is aware
of treatment plan, its
benefits and risks.
Ensure that patient consents
to treatment.
Maintain patient
confidentiality.
Involve patient support
person / guardian /
advocate, when indicated.
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Ensure patient privacy.
Ensure patient draping.
Terminate course of
treatment when appropriate.
Advise patient on self-care
and health maintenance.
Provide patient with options
for continuity of care.
Respect patients’ rights to
access the health care of
their choice.
Maintain practitioner selfcare.
Maintain personal health
and wellness in the context
of professional practice.
Maintain personal hygiene.
Maintain professional
appearance.
Practice within limits of
expertise.
Undertake critical selfreflection of performance.
Modify practice to enhance
effectiveness.
Take responsibility for
professional actions.
Remain current with
developments in
acupuncture practice.
Remain current with
developments in TCM
herbology practice.
Risk Management
Determine risk profile
131 | P a g e
Comments
Initials
Date
relative to acupuncture
treatment.
Identify situations where
acupuncture is
contraindicated.
Determine level of risk
relative to TCM herbal
treatment.
Assess potential for adverse
reaction to herbals.
Identify situations where
herbal treatment plans are
contraindicated.
Provide a safe working
environment.
Maintain current knowledge
of communicable diseases
and infection control
techniques.
Apply universal precautions
for infection control.
Ensure effective supervision
of staff and / or students.
Inspect facilities on a regular
basis for electrical hazards,
fire risk and physical
hazards that may cause
accidents, and take action to
minimize.
Establish procedures and
route for emergency
evacuation of facilities.
Establish procedures to
maximize protection of self,
staff and patients in the
event of abusive or violent
behaviour.
Include safety precautions in
herbal treatment plan.
132 | P a g e
Apply safety precautions in
acupuncture treatment, to
enhance accident
prevention.
Manage adverse reactions
and accidents resulting from
treatment.
Respond appropriately to
medical emergencies.
Communicate effectively
with emergency health
service providers.
Provide first aid.
Perform cardiopulmonary
resuscitation.
Manage blood-to-blood
contact and provide
direction for post exposure
follow up.
Clean spills of blood and
other body fluids.
Control and extinguish small
fires.
Ensure that equipment is
safe and functional.
Select equipment that
enhances patient safety.
Maintain equipment in good
working order.
Clean and equipment
regularly, and disinfect as
appropriate.
Clinical Diagnosis
Identify chief complaint.
Initiate assessment based
upon chief complaint.
133 | P a g e
Comments
Initials Date
Recognize conditions that
require urgent medical
treatment, and assist or
direct patient appropriately.
Modify assessment strategy
based upon emerging
information.
Initiate collaboration,
consultation or referral as
appropriate.
Collect information using
wang zhen (TCM diagnostic
inspection method).
wen zhen (TCM diagnostic
inquiry method).
wen zhen (TCM diagnostic
auscultation and olfaction
methods).
Collect information using qie
zhen (TCM diagnostic
palpation method).
Obtain information on
biomedical diagnostic data,
medical and health history.
Measure vital signs.
Conduct relevant physical
examination.
Analyze assessment
information.
Organize and interpret the
collected information using
TCM syndrome
differentiation theories:
Determine goals of
treatment.
Determine treatment
principles and strategies.
134 | P a g e
Take into account
precautions and
contraindications.
Explain etiology and
pathogenesis of condition.
Explain TCM concepts as
they apply to patient
condition.
Inform patient of possible
side effects and reaction to
treatment.
Advise patient on yu fang
and yang sheng (prevention,
diet, exercise, and lifestyle).
Counsel patient on
compliance with treatment
recommendations.
Yin/Yang
Five Elements
Organ theory
Vital substances
Jing-luo (channels and
collaterals), and
acupuncture points
Body constitution,
characteristics, genetic and
environmental factors
Clinical Acupuncture
Comments
Locate and apply knowledge
of the following groups of
points:
Jing xue (14 meridians)
Extra points
Five transporting points
Yuan/Primary Source points
Luo Connecting points
135 | P a g e
Initials
Date
Xi Cleft points
Back Shu points
Front Mu points
Lower He/Sea points
Eight confluent points
Eight influential points
Mother/child points
Acupuncture microsystems
of ear and scalp
Apply knowledge of the
following principles in
diagnosis and treatment:
Jing-luo (channels and
collaterals), and
acupuncture points
Select appropriate points,
point combinations, and
areas of treatment based on
diagnosis and patient
presentation
Apply knowledge of
anatomy, functions,
indications, precautions,
contraindications for
selection of points and
areas of treatment
Apply knowledge of Tuina/
An Mo
Apply knowledge of Qi Gong
Apply knowledge of
Guasha, including
contraindications
Apply knowledge of
Cupping, including
contraindications
Establish appropriate course
of acupuncture treatment
136 | P a g e
and other therapies
Adapt clinical setting for
comfort and safety
Position patient for
treatment (including draping
techniques)
Locate selected points on
patient
Apply treatment techniques
Apply knowledge of different
needle manipulation
techniques
Monitor and respond to
patient during treatment
Perform filiform needling
(with tube)
Perform filiform needling
(tubeless)
Perform intra-dermal
needling
Perform dermal needling
(plum blossom, seven star)
Perform three-edge
needling
Apply knowledge of
moxibustion, including
indications, risks,
precautions,
contraindications
Perform direct moxibustion
Perform indirect moxibustion
Perform needle warming
moxibustion
Apply knowledge of the use
of heat lamps
Apply knowledge of and
perform stimulation using
electro-acupuncture devices
137 | P a g e
Perform cupping
Perform guasha
Perform tuina/an mo
Clinical Herbal Medicine
Apply knowledge of the
following properties of TCM
herbs:
Si Qi (Four natures)
Wu Wei (Five flavours)
Gui Jing (Meridian entry)
Sheng Jiang Fu Chen
(Direction)
Actions
Indications
Toxicity
Pao zhi (methods and
effects of processing)
Apply knowledge of herbal
formulation strategies, in
regards to:
Composition of formula
Modification of formula
Functions and classification
Combinations and
compatibility
Dosage form, method of
administration
Potential adverse effects
Precautions and
contraindications
Herb-herb interactions
Herb-drug interactions
Herb-food interactions
Herb-natural health product
interactions
Devise appropriate TCM
138 | P a g e
Comments
Initials
Date
herbal formula based on
patient assessment and
presentation
Establish appropriate course
of treatment with TCM
herbal formula
Instruct patient on
administration of TCM
herbal formula
Maintain herbal inventory by
identifying appropriate
supply of herbs
Assess quality of herbs in
regards to packaging,
labelling, physical
properties, quality
assurance information
Store herbs in appropriate
conditions, including
environment, security
Maintain inventory records
Prepare and dispense
herbal formulas
Verify formula information is
clear, complete, and
accurate
Verify availability of herbs
and make substitutions if
necessary
Package and label herbal
formula
Provide instructions for
storage, preparation, and
usage
Maintain dispensing records
Prepare and dispense
herbal formulas.
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Additional Comments:
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140 | P a g e
OCTCM Student Clinic Procedure Overview
Procedure for receiving a new patient
1. Introduce yourself as a student
2. Give the patient the health history form and
3. Verbally go through the informed consent with them to ensure they
have no questions
4. Sign the Informed Consent form and review the health history form to
make sure they did not skip any sections
Procedure for Initial Intake
1. Introduce everyone in the room and their status (student)
2. Write the names of all students on the case record and the roles they
play (intake, acupuncture, tuina, observe, etc.)
3. Only one student does the intake
4. After the intake is complete, ask the other students if they have any
further questions
5. Be sure to accurately record any and all responses to questions
(even those asked by other students)
6. Observe the tongue
7. Take the pulse (all students)
8. Then get the supervisor
9. Present the supervisor with a summary of the case
10. This entire procedure should take 30 minutes
Procedure for Follow-up intake
1. Introduce everyone in the room and their status (student)
2. Write the names of all students on the case record and the roles they
play (intake, acupuncture, tuina, observe, etc.)
3. Only one student does the intake
4. Ask about how they felt from the last treatment
5. Ask about specific changes in the symptoms they had the previous
treatment
6. Try to make the information quantifiable
7. Ask if there are any new symptoms
8. After the intake is complete, ask the other students if they have any
further questions
9. Be sure to accurately record any and all responses to questions
(even those asked by other students)
10. Observe the tongue
141 | P a g e
11.
12.
13.
14.
Take the pulse (all students)
Then get the supervisor
Present the supervisor with a summary of the case
This entire procedure should take 15 minutes
Before the Treatment Begins
1. Wait until you decide about the treatment before bringing the patient
into the room
2. Tell the patient what you will be doing and Inform the patient who will
be doing what therapy
3. Respect the patient’s privacy!
4. Be clear in what the proper draping position should be and clearly
explain to the patient how to prepare themselves and then leave the
room with the curtain closed
5. Know who is needling BEFORE entering the room, preferably before
seeing the patient
6. No more than 2 students can needle any given patient
7. If you do not know the location, depth, or method/ angle of needling a
point, ask the supervisor to demonstrate BEFORE you start your
needling procedure.
Clinic Room Procedures
1. WASH HANDS as you enter the room
2. Respect the space of the other patients and students by being quiet,
mindful, and calm, speak softly
3. Support each other, but be mindful. Try not to openly criticize each
other in front of the patient. If you feel that the safety of the patient is
being compromised, then get the supervisor immediately.
4. Know who is needling BEFORE entering the room, preferably before
seeing the patient (YES Again!) Have a plan of what order you will
needle in, especially when more than one student will
needle. Normally the senior student will always needle first.
5. Only 1 student should be touching the patient at a time
6. Did you WASH YOUR HANDS?
Clinical Assisting
1. WASH YOUR HANDS TOO!
2. Position yourself at a convenient location so as not to obstruct the
student who is needling
142 | P a g e
3. Be prepared to assist in whatever is needed, you usually should have
wet cotton (NEVER let the wet cotton touch anything but the patient),
a tray, unopened needles of various sizes
4. Pay attention to what the student who is needling is doing and try to
anticipate their needs
5. Open one needle at a time, unless asked to do differently. Hold the
needles by the package and allow the student who is needling to take
it from the package
6. NEVER pass anything over the patients face, move around it
7. NEVER take the needle from another student, instead, get the
Sharps container and allow the other student to place the needle
directly into the container.
8. WASH your hands upon leaving the room.
Patient Check Out
1. Once the treatment is complete, inform the patient and give them
privacy to get up and dressed, if necessary, ask if they need
assistance.
2. Ask about their response to treatment, improvements in chief
complaint, or how they are feeling and record these changes and
responses in the case notes.
3. Receive payment, and record the dollar amount received in the
appointment book. If the patient pre-pays for any amount, the dollar
amount received is recorded on the day and the following
appointments can be mark “paid” without a dollar amount. This
allows the dollar amount recorded each day to match the total for the
end of the clinic.
4. Book the next appointment in accordance with the recommendations
of the primary student intern. Booking guidelines are set at the
beginning of each clinic by the clinical supervisor.
Additional Notes
You are responsible for tracking your hours. You are not to perform any
tasks before completing the required number of hours AND
COURSES. Regardless of how many courses or hours you have, you
must self-regulate yourself and never do something that you do not know
how to do...NEVER BE AFRAID TO ASK.
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Bibliography
Jurisprudence Course Handbook. (n.d.). Retrieved December 27, 2014,
from http://www.ctcmpao.on.ca/Media/en/publications/2013 TCCTCMPAO Jurisprudence Handbook (Sept 2013).pdf
Safety Program Handbook. (n.d.). Retrieved December 27, 2014, from
http://www.ctcmpao.on.ca/Media/en/publications/2012 TCCTCMPAO Safety Program Handbook (NOV2012).pdf
Blueprint for the pan-Canadian written examinations for traditional Chinese
medicine practitioners, acupuncturists and herbalists. (n.d.). Retrieved
December 27, 2014, from
http://www.ctcmpao.on.ca/Media/en/PanCanExam/ExaminationBlueprintWr
itten - Revised July 2013.pdf
A Proposed Standard International Acupuncture Nomenclature: Report of a
WHO Scientific Group: Proposed standard international acupuncture
nomenclature: 3.5 The 48 extra points. (n.d.). Retrieved January 2, 2015,
from http://apps.who.int/medicinedocs/en/d/Jh2947e/4.5.html
“To know what one knows and to know what one does not
know is the quality of one who knows”
144 | P a g e

OCTCM Student Clinic Handbook - Ontario College of Traditional

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